Individual
OANH LAURING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7642 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 665-3093
(410) 665-1975
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0061721
MD
207NP0225X
Pediatric Dermatology Physician
D0061721
MD
207NS0135X
Procedural Dermatology Physician
D0061721
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406054700
—
MD
01
—
KT93 / 4060547-00
BC /BS OF MD
MD
01
—
S186 / 0077
BLUECHOICE
MD
Enumeration date
05/20/2006
Last updated
04/01/2016
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