Individual
LAURA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7610 CARROLL AVE STE 400, TAKOMA PARK, MD 20912-6321
(301) 891-6141
Mailing address
7610 CARROLL AVENUE #400, TAKOMA PARK, MD 20912
(301) 891-6141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005854
MD
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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