Provider Demographics
NPI:1568441582
Name:STONE, LAURA STEWART (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:STEWART
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:STONE
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9403 BALLARD GREEN DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5915
Mailing Address - Country:US
Mailing Address - Phone:302-528-3926
Mailing Address - Fax:
Practice Address - Street 1:250 W PRATT ST STE 1320
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2411
Practice Address - Country:US
Practice Address - Phone:667-214-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD58313207P00000X
MDD0058313207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD510218900Medicaid
MD343LMedicare ID - Type Unspecified
H29557Medicare UPIN