NPI 1508184557

Laura Eastburn Keck Gifford, MD

Practitioner Dermatology Physician Largo, MD

Practice location

Address: 1221 Mercantile Ln, Largo, MD 20774
Phone: (800) 777-7904
Mailing address: 1221 Mercantile Ln, Largo, MD 20774-5374

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101261499 (VA)

Other Dermatology providers in Maryland →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME121790 (FL)

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 151494 (OR)

Other Internal Medicine providers in Maryland →

Registry record

NPI: 1508184557
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2010
Record last updated: 1 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.