person
Isagani D Laurencio, MD
General Practice Physician in Frostburg, Maryland
NPI 1730164492

Isagani D Laurencio is a General Practice Physician based in Cumberland, MD. Isagani D Laurencio practices in Frostburg, MD and has the professional credentials of MD. The NPI Number for Isagani D Laurencio is 1730164492 and holds a License No. D19954 (Maryland).

The current practice location address for Isagani D Laurencio is 10701 New Georges Creek Rd Sw, Frostburg, MD and can be reached out via phone at 301-689-3229 and via fax at 301-689-1129. You can also correspond with Isagani D Laurencio through the mailing address at 408 KEAN TER, CUMBERLAND, MD - 21502-3322 (mailing address contact number: 301-759-2787).

Location: 10701 New Georges Creek Rd Sw, Frostburg, MD, 21502-3322
person
Provider Profile Details
NPI Number
1730164492
Provider Name
Isagani D Laurencio
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10701 New Georges Creek Rd Sw, Frostburg, MD, 21502-3322
Phone Number
301-689-3229
Fax Number
301-689-1129
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LU39HU 416653 02 01 MD CAREFIRST BC BS - HT.CLUB
41665301 01 MD CAREFIRST BC BS
E458 0015 01 DC BLUE CHOICE - HT. CLUB
K029 0003 01 DC BLUE CHOICE DC
0050694000 05 WV
institution
Provider Business Practice Location Address Details
Address
10701 New Georges Creek Rd Sw
City
State
Zip
21532-1457
Phone Number
301-689-3229
Fax Number
301-689-1129
person
Provider Business Mailing Address Details
Address
10701 New Georges Creek Rd Sw
City
State
Zip
21532-1457
Phone Number
301-689-3229
Fax Number
301-689-1129
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D19954 (Maryland)
Definition
Definition to come...
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