Individual
LAURA BABKES REAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7226 LEE DEFOREST DR STE 102, COLUMBIA, MD 21046-3239
(410) 730-6911
(410) 730-1599
Mailing address
7226 LEE DEFOREST DR STE 102, COLUMBIA, MD 21046-3239
(410) 730-6911
(410) 730-1599
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D73250
MD
Other
Enumeration date
06/03/2007
Last updated
06/26/2024
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