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Individual
LAURA LEE WOODARD
Active
Individual
LAURA LEE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101053151
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063YM
BLUE CROSS BLUE SHIELD NC
NC
01
—
082480
BLUE CROSS BLUE SHIELD VA
VA
01
—
251490
MAMSI/MDIPA
—
01
—
27949
OPTIMA
—
01
—
3900570
OPTIMUM CHOICE
—
05
—
5847320
—
VA
05
—
89063YM
—
NC
01
—
930088666
MEDICARE RAILROAD
—
Enumeration date
08/30/2006
Last updated
02/22/2011
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