Individual
KEVIN LAWRENCE LASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 BENFOREST DR, SEVERNA PARK, MD 21146-1735
(410) 544-7611
(410) 544-5179
Mailing address
512 BENFOREST DR, SEVERNA PARK, MD 21146-1735
(410) 544-7611
(410) 544-5179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D35560
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-00070
EVERCARE
—
01
—
52471105
CAREFIRST BCBS
MD
05
—
751621500
—
MD
01
—
K749
BCBS NATIONAL, FEP, BLUECHOICE
DC
Enumeration date
09/14/2005
Last updated
05/27/2008
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