Provider Demographics
NPI:1124073358
Name:LAUGHLIN, CARL DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:DANIEL
Last Name:LAUGHLIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 DEFENSE HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7034
Mailing Address - Country:US
Mailing Address - Phone:410-224-2020
Mailing Address - Fax:410-224-2021
Practice Address - Street 1:166 DEFENSE HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7034
Practice Address - Country:US
Practice Address - Phone:410-224-2020
Practice Address - Fax:410-224-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034629174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD74355Medicare UPIN