Laurencio, Isagani D

Laurencio, Isagani D is an individual health care provider with primary practice located at 10701 New Georges Creek Rd Sw , Frostburg MD 21532-1457. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Laurencio, Isagani D can be contacted via phone (301) 689-3229.

Contact Information

Primary practice address
10701 New Georges Creek Rd Sw Frostburg MD 21532-1457
Fax: (301) 689-1129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D19954 Maryland

Profile Details

NPI number 1730164492
LBN Legal business name Laurencio, Isagani D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Sep 11th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730164492 NPPES
Maryland Other LU39HU 416653 02 CAREFIRST BC BS - HT.CLUB
Maryland Other 41665301 CAREFIRST BC BS - HT.CLUB
Maryland Other E458 0015 CAREFIRST BC BS - HT.CLUB
Maryland Other K029 0003 CAREFIRST BC BS - HT.CLUB
Maryland MEDICAID 0050694000 CAREFIRST BC BS - HT.CLUB

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