Individual
DR. LAURENCE JOHN PEZOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-2650
(833) 908-2283
Mailing address
808 S 5TH AVE, DENTON, MD 21629-1398
(410) 479-2650
(833) 908-2283
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0042032
MD
2084P0804X
Child & Adolescent Psychiatry Physician
D0042032
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
Enumeration date
06/30/2005
Last updated
08/08/2024
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