Laser, Kevin Lawrence
Laser, Kevin Lawrence is an sole proprietor health care provider with primary practice located at 512 Benforest Dr , Severna Park MD 21146-1735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Laser, Kevin Lawrence can be contacted via phone (410) 544-7611.Contact Information
Primary practice address
512 Benforest Dr
Severna Park MD 21146-1735
Phone: (410) 544-7611
Fax: (410) 544-5179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D35560 | Maryland |
Profile Details
| NPI number | 1881689099 |
|---|---|
| LBN Legal business name | Laser, Kevin Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | May 27th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881689099 | NPPES |
| Other | 15-00070 | EVERCARE | |
| Other | 52471105 | EVERCARE | |
| Other | K749 | EVERCARE | |
| MEDICAID | 751621500 | EVERCARE |
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