Individual
LAURA MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-07801
NC
363AM0700X
Medical Physician Assistant
Primary
0110006615
VA
Other
Enumeration date
01/13/2018
Last updated
03/06/2024
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