Individual
LAURIE ALCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5305 SWEET BIRCH CT, ELLICOTT CITY, MD 21043-6304
(410) 747-3667
Mailing address
5305 SWEET BIRCH CT, ELLICOTT CITY, MD 21043-6304
(410) 747-3667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M03114
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12526045
COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE (CAQH)
MD
Enumeration date
05/07/2013
Last updated
05/07/2013
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