Healthcare Provider Details

I. General information

NPI: 1902720832
Provider Name (Legal Business Name): LAURA ALLEN DNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W LOMBARD ST
BALTIMORE MD
21201-1512
US

IV. Provider business mailing address

803 COUNT FLAME CT
WESTMINSTER MD
21157-3381
US

V. Phone/Fax

Practice location:
  • Phone: 410-706-7884
  • Fax:
Mailing address:
  • Phone: 240-893-5920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberR173519
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: