Organization
LASER PODIATRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E MULLENDORE DPM (OWNER)
(301) 695-9669
Entity
Organization
Contact information
Practice address
182 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702-4557
(301) 695-9669
(301) 695-0346
Mailing address
198 THOMAS JOHNSON DR, SUITE 4, FREDERICK, MD 21702-4398
(301) 695-9669
(301) 695-0346
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/27/2011
Last updated
12/23/2019
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