Healthcare Provider Details

I. General information

NPI: 1023072238
Provider Name (Legal Business Name): DAWN LAPORTE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST RM 5210
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

PO BOX 64664
BALTIMORE MD
21264-4664
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-3134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberD0055657
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: