Individual
DR. LAURENA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH, LAC
Contact information
Practice address
10203 TANAGER LN STE 102, COLUMBIA, MD 21044-3943
(443) 979-7550
Mailing address
10203 TANAGER LN STE 102, COLUMBIA, MD 21044-3943
(443) 979-7550
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02596
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U02596
MARYLAND BOARD OF ACUPUNCTURE
MD
Enumeration date
05/31/2019
Last updated
06/11/2019
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