Individual
LAURA MAIN MONAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSM
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C0008533
MD
363A00000X
Physician Assistant
Primary
0010-13955
NC
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
08/24/2026
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