Individual
DR. ALISON LAUREL RAYBOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5875 BREMO RD STE 209, RICHMOND, VA 23226-1934
(804) 287-7804
(804) 287-7178
Mailing address
5875 BREMO RD STE 209, RICHMOND, VA 23226-1934
(804) 287-7804
(804) 287-7178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209657
NC
207RH0003X
Hematology & Oncology Physician
Primary
0101274637
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101274637
STATE MEDICAL LICENSE
VA
Enumeration date
05/31/2015
Last updated
01/09/2023
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