| NPI | 1225300072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWRENCE LASER Physician 410-615-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD D35560) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |