Provider First Line Business Practice Location Address:
7300 VAN DUSEN RD
Provider Second Line Business Practice Location Address:
LAUREL REGIONAL HOSPITAL
Provider Business Practice Location Address City Name:
LAUREL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-497-7940
Provider Business Practice Location Address Fax Number:
301-497-8743
Provider Enumeration Date:
12/03/2007