Individual
LAURIE MACDONALD CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 929-7222
(301) 929-7203
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101237985
VA
207Q00000X
Family Medicine Physician
Primary
D0063325
MD
207Q00000X
Family Medicine Physician
MD035762
DC
Other
Enumeration date
06/03/2006
Last updated
11/22/2021
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