Individual
CARL E LAGUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
8807 BRIARCLIFF LN, FREDERICK, MD 21701-5887
(240) 347-2430
(949) 695-4189
Mailing address
PO BOX 15, MONROVIA, MD 21770-0015
(240) 347-2430
(949) 695-4189
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP016382
PA
363LG0600X
Gerontology Nurse Practitioner
SP016382
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
R236570
MD
Other
Enumeration date
07/26/2016
Last updated
04/29/2024
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