Individual
LAURIE BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 BATA BLVD, SUITE A, BELCAMP, MD 21017
(410) 575-6611
(410) 273-7509
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
D57084
MD
208000000X
Pediatrics Physician
Primary
D57084
MD
Other
Enumeration date
02/21/2007
Last updated
11/06/2018
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