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Contact Information

LAURAJEAN COUNCILL, DPM
3021 MOUNTAIN RD STE A
PASADENA, MD21122-2015
 Phone: 410-437-9366
 Fax: 410-437-8107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LAURAJEAN COUNCILL · (Female)

NPI Number 1487799490
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/20/2007
Last updated 12/22/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 00971
  • MD License # 08828
  • MD Medicaid 43428-8700
  • DC Other W219-0001 BLUE CROSS BLUE SHIELD
  • DC Other W219-0001 BLUE SHIELD FEP
  • MD Other KBQ4CO BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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