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Individual

LAURA A STANFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8926 WOODYARD RD, SUITE 701, CLINTON, MD 20735-4220
(301) 856-1682
(301) 856-8214
Mailing address
8926 WOODYARD RD, SUITE 701, CLINTON, MD 20735-4220
(301) 856-1682
(301) 856-8214

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2598
AZ
363AM0700X
Medical Physician Assistant
C0003860
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142435ZAKW
MEDICARE METRO
01
144937YZW
MARYLAND MEDICARE
01
145530100
DEPARTMENT OF LABOR
Enumeration date
01/17/2006
Last updated
12/07/2010
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