| Doctor Name: | LAURIE BOTHWELL |
| NPI Number: | 1861537532 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | D57084 |
| Business Practice Address: | 103 Bata Blvd Suite A Belcamp, MD - 21017 |
| Business Phone Number: | 4105756611 |
| Business Fax Number: | 4102737509 |
| Mailing Address: | 3100 Wyman Park Dr, BALTIMORE |
| State: | MD |
| Postal Code: | 212112803 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PP0204X |
| License Number: | D57084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |