Individual
EMILY CATHERINE LAUSTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9714 HEALTHWAY DRIVE, BERLIN, MD 21811
(410) 641-4765
(410) 641-4762
Mailing address
9733 HEALTHWAY DRIVE, BERLIN, MD 21811
(410) 641-4765
(410) 641-4762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003989
MD
Other
Enumeration date
06/05/2009
Last updated
09/27/2024
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