Individual
LAURA LEE PREVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
610 SOLAREX CT, FREDERICK, MD 21703-8624
(301) 682-6094
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
R195660
MD
163WD0400X
Diabetes Educator Registered Nurse
Primary
R195660
MD
Other
Enumeration date
03/11/2013
Last updated
07/27/2015
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