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Individual

LAURA H MONTAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
3615 MORNING DOVE RD, ROANOKE, VA 24018-5013
(540) 725-3682

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001077949
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024077949
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010025036
VA
05
010025044
VA
05
010025052
VA
05
010025109
VA
05
010025133
VA
Enumeration date
06/29/2006
Last updated
05/09/2008
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