Individual
LAURA OXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1760 OLD MEADOW RD STE 500, MC LEAN, VA 22102-4306
(703) 810-5217
(703) 810-5429
Mailing address
645 VERNON AVE APT B, VENICE, CA 90291-5748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010632
VA
Other
Enumeration date
06/18/2024
Last updated
01/29/2025
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