Individual
LAURA J LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11800 SUNRISE VALLEY DR STE 800, RESTON, VA 20191
(703) 709-1114
(703) 709-1117
Mailing address
11800 SUNRISE VALLEY DR STE 800, RESTON, VA 20191-5320
(703) 709-1114
(703) 709-1117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003242
VA
Other
Enumeration date
02/15/2010
Last updated
08/06/2018
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