MEDICARE: DR. LAURENCE JOHN PEZOR JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	D0042032	MD
2	2084P0800X	Psychiatry Physician	D0042032	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427055946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURENCE JOHN PEZOR JR. M.D.

Provider Business Mailing Address
First Line	:	808 S 5TH AVE
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-1398
Country	:	US
Telephone Number	:	410-479-2650
Fax Number	:	833-908-2283

Provider Business Practice Location Address
First Line	:	808 S 5TH AVE
Second Line	:
City	:	DENTON
State	:	MD
Zip	:	21629-1398
Country	:	US
Telephone Number	:	410-479-2650
Fax Number	:	833-908-2283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/08/2024

Similar Medicare Providers

1033102975 — WAFIK I ZAKI M.D.
Practice Location Address:

836 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-5900
Practice Fax: 410-479-5901

1235220013 — DR. KATHERINE AMATA COOK MD
Practice Location Address:

836 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-0434
Practice Fax: 410-479-5901

1699818450 — DR. FOUAD SAAD EL-DIN HAKY SALAMA DDS
Practice Location Address:

808 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-2650
Practice Fax: 833-916-1012

1285873901 — DR. SARAH JANE MULLER PHARMD
Practice Location Address:

842 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-1771
Practice Fax: 410-479-4879

1780911784 — VICKI JOSEPHINE RAHENKAMP LCPC
Practice Location Address:

808 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-2650
Practice Fax: 833-908-2283

1730487075 — SEONG G KIM
Practice Location Address:

842 S 5TH AVE
DENTON, MD
21629-1398

Practice Phone: 410-479-1771
Practice Fax:

Directions to “ DR. LAURENCE JOHN PEZOR JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.