Individual
LAUREN WELSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4812 LAKE DR, VIRGINIA BEACH, VA 23455-1326
(636) 288-5126
Mailing address
4812 LAKE DR, VIRGINIA BEACH, VA 23455-1326
(636) 288-5126
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
190513
VA
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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