Individual
LAURIE ARCHBALD-PANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
674 HILLSDALE DR STE 3, CHARLOTTESVILLE, VA 22901-1799
(434) 982-6282
(434) 964-1432
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101238964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356544233
—
VA
Enumeration date
06/07/2007
Last updated
08/08/2023
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