Dr. Lawrence Dean Bourgard
Orthopaedic Surgeon
583 Frederick Rd Suite 4
Baltimore
, Maryland 21228-4697
Dr. Lawrence Dean Bourgard
Orthopaedic Surgeon
583 Frederick Rd Suite 4
Baltimore
, Maryland 21228-4697
(410) 695-0024
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lawrence Dean Bourgard
- 860 Thicket Ct
- Odenton, MD
- Zip : 21113-4038
- Phone : (410) 695-0024
Second Address
- Dr. Lawrence Dean Bourgard
- 583 Frederick Rd Suite 4
- Baltimore, MD
- Zip : 21228-4697
- Phone : (410) 788-0505
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | D36648 | MD |
National Provider Identifier
| NPI | 1013074566 |
|---|---|
| Provider Name | Dr. Lawrence Dean Bourgard |
| First Address | Odenton, MD 21113-4038 |
| Second Address | Baltimore, MD 21228-4697 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| M27792 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.