Individual
LAURIE ANNE GOLDSTICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 W BRAMBLETON AVE, SUITE 100, NORFOLK, VA 23510-1115
(757) 627-6220
(757) 627-0200
Mailing address
400 W BRAMBLETON AVE, SUITE 100, NORFOLK, VA 23510-1115
(757) 627-6220
(757) 627-0200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010180767
—
VA
01
—
11367
SENTARA/OPTIMA
VA
01
—
178893
ANTHEM
VA
01
—
5024100
AETNA
VA
01
—
541595397
VIRGINIA HEALTH NETWORK
VA
Enumeration date
02/10/2006
Last updated
02/13/2017
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