Individual
DR. WILLIAM J LAURETTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
16220 S FREDERICK AVE, SUITE 500, GAITHERSBURG, MD 20877-4039
(301) 258-8877
(301) 208-1188
Mailing address
16220 S FREDERICK AVE, SUITE 500, GAITHERSBURG, MD 20877-4039
(301) 258-8877
(301) 208-1188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1469-PT
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100731
MAMSI/UNITEDHEALTHCARE
—
01
—
524355-02
CAREFIRST BC/BS MARYLAND
MD
01
—
778111
PHCS NETWORK
—
01
—
P 1579733
FIRST HEALTH NETWORK
—
01
—
S973
CAREFIRST BC/BS NAT'L CAP
MD
Enumeration date
07/07/2005
Last updated
07/09/2007
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