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Organization

KEVIN L LASER MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN LAWRENCE LASER M.D. (PHYSICIAN)
(410) 615-3707
Entity
Organization

Contact information

Practice address
512 BENFOREST DR, SEVERNA PARK, MD 21146-1735
(410) 615-3707
Mailing address
512 BENFOREST DR, SEVERNA PARK, MD 21146-1735
(410) 615-3707

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D35560
MD

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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