Individual
MR. LAWRENCE T KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., BSN, CCRP
Contact information
Practice address
1425 PORTER ST, FORT DETRICK, MD 21702-5011
(301) 619-3411
(301) 619-4505
Mailing address
1425 PORTER ST, FORT DETRICK, MD 21702-5011
(301) 619-3411
(301) 619-4505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R098611
MD
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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