Individual
LAURA LEE DUNLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 215-6310
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07918
MD
363A00000X
Physician Assistant
PA12576
TX
Other
Enumeration date
02/07/2019
Last updated
10/20/2022
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