Provider Demographics
NPI:1760787782
Name:DOVER, LAURA B (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:B
Last Name:DOVER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:7600 OSLER DRIVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-377-3070
Mailing Address - Fax:410-377-2960
Practice Address - Street 1:7600 OSLER DRIVE
Practice Address - Street 2:SUITE 107
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-377-3070
Practice Address - Fax:410-377-2960
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-22
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDS03464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor