Individual
LAUREL PUCK NORTHUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 ROCKLEDGE DR, #307, BETHESDA, MD 20817-1809
(301) 493-8984
(301) 493-8985
Mailing address
6410 ROCKLEDGE DR, #307, BETHESDA, MD 20817-1809
(301) 493-8984
(301) 493-8985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D42431
MD
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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