Individual
PAMELA LAPRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4461 STARKEY RD, SUITE 201, ROANOKE, VA 24018
(540) 345-4946
(540) 982-7164
Mailing address
4461 STARKEY RD, SUITE 201, ROANOKE, VA 24018
(540) 345-4946
(540) 982-7164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001A71
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326047564
—
VA
Enumeration date
07/19/2005
Last updated
05/12/2011
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