Laurajean Councill, D.P.M.

NPI #1487799490 in Pasadena, Maryland

Provider Information

NPI Number: 1487799490
Entity Type: Individual
Name: Laurajean Councill, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Feb 20, 2007
Last Updated: Dec 22, 2022

Practice Location

Address: 3021 MOUNTAIN RD STE A
City: Pasadena
State: Maryland
ZIP Code: 21122-2015
Phone: (410) 437-9366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X
Podiatrist	213E00000X	Primary

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