Individual
DR. LAURENCE R O'HALLORAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3299 WOODBURN RD, #300, ANNANDALE, VA 22003-1275
(703) 534-3314
(703) 698-1334
Mailing address
3299 WOODBURN RD, #300, ANNANDALE, VA 22003-1275
(703) 534-3314
(703) 698-1334
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101051134
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65-022-11
—
VA
Enumeration date
10/21/2005
Last updated
07/08/2007
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