Individual
DR. LARA ELIZABETH PAWLOW QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD, SUITE 203, NEWPORT NEWS, VA 23606-4430
(757) 327-0657
(757) 327-0658
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101245981
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116020358
VA
Other
Enumeration date
08/12/2008
Last updated
03/19/2013
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