LAINE MONTGOMERY CORNELISON

FREDERICK, MD
NPI1972762995
Former NameLAINE MONTGOMERY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D72798)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0101249806)
207Q00000X Family Medicine
(Licence: DC  MD040239)
Enumeration Date2008-06-05
Last Update Date2021-06-21
Business Address
Dr. LAINE MONTGOMERY CORNELISON MD
7190 CRESTWOOD BLVD KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703-7314
Phone number: 240-529-1700
Mailing Address
Dr. LAINE MONTGOMERY CORNELISON MD
2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-2424