Individual
DR. LAJUANA M COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
(757) 827-3161
Mailing address
72 DIAMOND HILL RD, HAMPTON, VA 23666-6013
(757) 869-2367
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047697
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007113030
—
VA
01
—
226715
ANTHEM BC
VA
Enumeration date
11/29/2005
Last updated
03/07/2023
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