Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0055657 | MD |
NPI | 1023072238 |
---|---|
Provider Name | Dr. Dawn Laporte |
First Address | Baltimore, MD 21264-4664 |
Second Address | Baltimore, MD 21287-0006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 24/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
331950400 | (05) | MD |
903A | CAREFIRST MARYLAND (01) | MD |
DC8030 | RAILROAD MEDICARE (01) | MD |
DE5302 | RAILROAD MEDICARE (01) | MD |
H15534 | (02) | |
J848 | CAREFIRST DC (01) | MD |