Individual
MRS. LORI M GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11760 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4204
(757) 668-6300
Mailing address
11783 ROCK LANDING DR, SUITE 202, NEWPORT NEWS, VA 23606-4431
(757) 668-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101239715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010260141
—
VA
Enumeration date
05/22/2006
Last updated
07/27/2023
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