Individual
MRS. ANGELA D LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4800 PLEASANT HILL DR STE 102, ROANOKE, VA 24018-3406
(540) 512-9754
(540) 512-9148
Mailing address
4800 PLEASANT HILL DR STE 102, ROANOKE, VA 24018-3406
(540) 512-9754
(540) 512-9148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002066889
VA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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