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LAURANCE KUPPERBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 S ATWOOD RD, SUITE 102, BEL AIR, MD 21014-3608
(410) 420-9980
(410) 420-9975
Mailing address
102 S ATWOOD RD, SUITE 102, BEL AIR, MD 21014-3608
(410) 420-9980
(410) 420-9975

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0016606
MD

Other

Enumeration date
08/28/2006
Last updated
06/25/2008
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