Individual
DR. LAURA ELIZABETH REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1316 ALVERSER PLZ, MIDLOTHIAN, VA 23113
(804) 379-0116
(804) 379-1088
Mailing address
PO BOX 72605, RICHMOND, VA 23235-8017
(804) 379-0116
(804) 379-1088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101238821
MA
207ND0900X
Dermatopathology Physician
0101238821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1178927
AETNA HMO
VA
01
—
192334
ANTHEM
VA
01
—
7682749
AETNA NON-HMO
VA
Enumeration date
12/18/2006
Last updated
09/07/2018
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