Provider Demographics
NPI:1497019780
Name:DIXON, PETER LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:LAWRENCE
Last Name:DIXON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 442
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-0442
Mailing Address - Country:US
Mailing Address - Phone:443-333-1003
Mailing Address - Fax:443-420-6922
Practice Address - Street 1:516 N ROLLING RD STE 304
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4133
Practice Address - Country:US
Practice Address - Phone:443-333-1003
Practice Address - Fax:443-420-6922
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0093624208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery