Individual
LAWRENCE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 N MARKET ST, FREDERICK, MD 21701-5419
(301) 662-6226
(301) 682-6040
Mailing address
41 N MARKET ST, FREDERICK, MD 21701-5419
(301) 662-6226
(301) 682-6040
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D40878
MD
Other
Enumeration date
06/10/2005
Last updated
03/05/2014
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