# LASER PODIATRY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386943561
- **Authorized official:** JENNIFER E MULLENDORE DPM (OWNER)
- **Authorized official phone:** (301) 695-9669

## Contact information

- **Practice address:** 182 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702-4557
- **Practice address phone:** (301) 695-9669
- **Practice address fax:** (301) 695-0346
- **Mailing address:** 198 THOMAS JOHNSON DR, SUITE 4, FREDERICK, MD 21702-4398
- **Mailing address phone:** (301) 695-9669
- **Mailing address fax:** (301) 695-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2011
- **Last updated:** 12/23/2019