Individual
LAURIE B GEZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-3751
Mailing address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003630
MD
Other
Enumeration date
10/17/2007
Last updated
11/23/2007
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