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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1881689099 NPPES
Other 15-00070 EVERCARE
Other 52471105 EVERCARE
Other K749 EVERCARE
MEDICAID 751621500 EVERCARE

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