Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | H0071533 | MD |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 13178 | NH |
NPI | 1386664902 |
---|---|
Provider Name | Laurie B Porter |
First Address | Linthicum, MD 21090-2917 |
Second Address | Nashua, NH 03060-3922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 07/07/2016 |