Individual
DR. LAURA KONIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 MERCHANTS VIEW SQ, SUITE 700, HAYMARKET, VA 20169-5439
(571) 284-0219
Mailing address
5501 MERCHANTS VIEW SQ, SUITE 700, HAYMARKET, VA 20169-5439
(571) 284-0219
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD28306
SC
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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