Individual
LAURA MAIN MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSM
Contact information
Practice address
5530 WISCONSIN AVE STE 820, CHEVY CHASE, MD 20815-4401
(301) 652-8081
Mailing address
5530 WISCONSIN AVE STE 820, CHEVY CHASE, MD 20815-4401
(301) 652-8081
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C0008533
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008533
MARYLAND DEPARTMENT OF HEALTH BOARD OF PHYSICIANS
MD
Enumeration date
08/07/2022
Last updated
08/07/2022
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