Individual
KEVIN LAWRENCE LASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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