Laurajean Councill is a Pasadena, Maryland based female podiatrist who is specialized in Podiatrist. Active license number of Laurajean Councill for Podiatry is 00971 in Maryland. Laurajean Councill is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Laurajean Councill speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Gender:
Female
Practice Address:
3021 Mountain Rd Ste A, Pasadena, Maryland, 21122-2015
Phone:
410-437-9366
Fax:
410-437-8107
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1487799490
NPI Enumeration Date:
20 Feb, 2007
NPI Last Update On:
22 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laurajean Councill are as mentioned below.
License Number
Specialization
State
Status
00971
Podiatry
Maryland
Primary
08828
Pharmacist
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Laurajean Councill such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
KBQ4CO
Other
Maryland
BLUE CROSS BLUE SHIELD
W219-0001
Other
District Of Columbia
BLUE CROSS BLUE SHIELD
W219-0001
Other
District Of Columbia
BLUE SHIELD FEP
43428-8700
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3021 Mountain Rd Ste A, Pasadena, Maryland
Zip:
21122-2015
Phone Number:
410-437-9366
Fax Number:
410-437-8107
Patients can reach Laurajean Councill at 3021 Mountain Rd Ste A, Pasadena, Maryland or can call to book an appointment on 410-437-9366. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.