Provider Demographics
NPI:1396858569
Name:SEED, LAURA J (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:SEED
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1106 BLUEBIRD CT E
Mailing Address - Street 2:APT E
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-1539
Mailing Address - Country:US
Mailing Address - Phone:410-420-7722
Mailing Address - Fax:
Practice Address - Street 1:1106 BLUEBIRD CT E
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1539
Practice Address - Country:US
Practice Address - Phone:410-297-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00410062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE18427Medicare UPIN