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Laurajean Councill, DPM
Podiatrist in Pasadena, Maryland
NPI 1487799490

Laurajean Councill is a Podiatrist based in Pasadena, MD. Laurajean Councill practices in Pasadena, MD and has the professional credentials of DPM. The NPI Number for Laurajean Councill is 1487799490 and holds a License No. 08828 (Maryland).

The current practice location address for Laurajean Councill is 3021 Mountain Rd Ste A, Pasadena, MD and can be reached out via phone at 410-437-9366 and via fax at 410-437-8107.

Location: 3021 Mountain Rd Ste A, Pasadena, MD, 21122-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487799490
Provider Name
Laurajean Councill
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
3021 Mountain Rd Ste A, Pasadena, MD, 21122-2015
Phone Number
410-437-9366
Fax Number
410-437-8107
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KBQ4CO 01 MD BLUE CROSS BLUE SHIELD
W219-0001 01 DC BLUE CROSS BLUE SHIELD
W219-0001 01 DC BLUE SHIELD FEP
43428-8700 05 MD
institution
Provider Business Practice Location Address Details
Address
3021 Mountain Rd Ste A
City
Pasadena
State
Maryland
Zip
21122-2015
Phone Number
410-437-9366
Fax Number
410-437-8107
person
Provider Business Mailing Address Details
Address
3021 Mountain Rd Ste A
City
Pasadena
State
Maryland
Zip
21122-2015
Phone Number
410-437-9366
Fax Number
410-437-8107
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
00971 (Maryland)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
08828 (Maryland)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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