Individual
DR. LAUREL DIANE KORTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3620 JOSEPH SIEWICK DR, STE 202, FAIRFAX, VA 22033-1756
(703) 922-9501
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
TEP4621
NE
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101240278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033579
ANTHEM
VA
05
—
1295773729
—
VA
01
—
484645
NCPPO
VA
01
—
9445356
PHCS
VA
01
—
K142-0001
CARE FIRST 2005
VA
Enumeration date
06/04/2006
Last updated
03/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us