Individual
LAURIE S STAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7601 OSLER DR, MANAGED CARE, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
11907 MANOR RD, GLEN ARM, MD 21057-9144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C03567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03567
LICENSE
MD
Enumeration date
08/23/2007
Last updated
01/07/2013
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