Organization
JAMES RIVER DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ELIZABETH REGAN M.D. (PHYSICIAN)
(804) 379-0116
Entity
Organization
Contact information
Practice address
1316 ALVERSER PLAZA, MIDLOTHIAN, VA 23113
(804) 379-0116
(804) 379-1088
Mailing address
PO BOX 72605, NORTH CHESTERFIELD, VA 23235-8017
(804) 379-0116
(804) 379-1088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101238821
VA
Other
Enumeration date
03/17/2009
Last updated
01/29/2015
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