Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D58772 | MD |
N | 111NI0900X | Internist | D58772 | MD |
Y | 207RR0500X | Rheumatology | D58772 | MD |
NPI | 1104879527 |
---|---|
Provider Name | Laura Hummers |
First Address | Baltimore, MD 21264-4264 |
Second Address | Baltimore, MD 21287-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 08/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400243100 | (05) | MD |
H63606 | (02) | MD |