Individual
DR. LAURA K AISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15769 WC MAIN ST, MIDLOTHIAN, VA 23113-7327
(804) 419-9760
(804) 378-9140
Mailing address
15769 WC MAIN ST, MIDLOTHIAN, VA 23113-7327
(804) 419-9760
(804) 378-9140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235342
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093800757
—
VA
01
—
P00343791
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
08/12/2013
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