Individual
ALISA MAE LARBALESTRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 HOSPITAL DRIVE, EMERGENCY DEPARTMENT, BALTIMORE WASHINGTON MEDICAL CENTER, GLEN BURNIE, MD 21061
(410) 787-4349
(410) 328-8028
Mailing address
301 HOSPITAL DRIVE, EMERGENCY DEPARTMENT, BALTIMORE WASHINGTON MEDICAL CENTER, GLEN BURNIE, MD 21061
(410) 787-4349
(410) 328-8028
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D0069981
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2007
Last updated
01/20/2015
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