Individual
DR. LAURIE SUSAN CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3058
Mailing address
6322 SUMMER SUNRISE DR, COLUMBIA, MD 21044-6038
(410) 531-3331
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
D62988
MD
2080P0206X
Pediatric Gastroenterology Physician
MD037348
DC
Other
Enumeration date
01/30/2007
Last updated
06/19/2008
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