| Laurel Lakes Primary Care, Llc | |
|
13900 Baltimore Ave Laurel MD 20707-5046 | |
| (301) 725-5658 | |
| (301) 483-3723 |
| Full Name | Laurel Lakes Primary Care, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 13900 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Mirza H Baig (PRESIDENT) |
| Authorized Official Contact | 3017255658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Lakes Primary Care, Llc 13900 Baltimore Ave Laurel MD 20707-5046 Ph: (301) 725-5658 | Laurel Lakes Primary Care, Llc 13900 Baltimore Ave Laurel MD 20707-5046 Ph: (301) 725-5658 |
| NPI Number | 1548217623 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548217623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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