Individual
LAURA LIWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9101 STONY POINT DR, RICHMOND, VA 23235-1979
(804) 330-9105
Mailing address
9101 STONY POINT RD, RICHMOND, VA 23235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1356128227
VA
Other
Enumeration date
09/13/2023
Last updated
12/01/2023
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