Individual
LAURA E FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
128 LOUISE TER, GLEN BURNIE, MD 21060-7339
(410) 914-7223
Mailing address
4341 NORTHVIEW DR, BOWIE, MD 20716-2602
(301) 262-1330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002992
MD
Other
Enumeration date
04/01/2006
Last updated
10/10/2011
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