IndividualActive
Alexandra Laurence, PA-C
NPI 1295304319 · Physician Assistant · Odenton, MD
Provider details
- NPI number
- 1295304319
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- C0007989 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Phone: (410) 672-2255
Approximate (ZIP-level) locationGet directions
Mailing address
1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.