person
Dr. Lauren Gevana Outlaw, MD
Obstetrics & Gynecology Physician in La Plata, Maryland
NPI 1912193970

Lauren Gevana Outlaw is a Obstetrics & Gynecology Physician based in La Plata, MD. Lauren Gevana Outlaw practices in La Plata, MD and has the professional credentials of MD. The NPI Number for Lauren Gevana Outlaw is 1912193970 and holds a License No. D90375 (Maryland).

The current practice location address for Lauren Gevana Outlaw is 101 E Charles St Ste 104, La Plata, MD and can be reached out via phone at 301-609-4800 and via fax at 240-901-2958.

Location: 101 E Charles St Ste 104, La Plata, MD, 20646-4901
person
Provider Profile Details
NPI Number
1912193970
Provider Name
Lauren Gevana Outlaw
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 E Charles St Ste 104, La Plata, MD, 20646-4901
Phone Number
301-609-4800
Fax Number
240-901-2958
Provider Enumeration Date
09/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000675487 01 IN ANTHEM IN - BMA
000000873394 01 IN BCBS
200898630 05 IN
200898630 FWO 05 IN
01064686A 01 IN PHYSICIAN LICENSE
000000675480 01 IN ANTHEM IN - FWO
institution
Provider Business Practice Location Address Details
Address
101 E Charles St Ste 104
City
State
Zip
20646-4901
Phone Number
301-609-4800
Fax Number
240-901-2958
person
Provider Business Mailing Address Details
Address
101 E Charles St Ste 104
City
State
Zip
20646-4901
Phone Number
301-609-4800
Fax Number
240-901-2958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
D90375 (Maryland)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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