Individual
LAURA F LUEVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9702 GAYTON RD # 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Mailing address
9702 GAYTON RD # 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810003121
VA STATE LICENSE
VA
Enumeration date
01/22/2009
Last updated
06/11/2009
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