Individual
DR. LIISA L LAAKSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8073
(703) 369-8032
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0102206011
VA
2085R0202X
Diagnostic Radiology Physician
036058015
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615363
BC GROUP
IL
05
—
036058015
—
IL
01
—
CB4562
TRAVELERS MEDICARE GRP
IL
01
—
P00386472
TRAVLERS INDIVIDUAL PIN
IL
Enumeration date
01/06/2006
Last updated
02/26/2024
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