Individual
LAURA SUSANNE PHIEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 LIBBIE AVENUE, RICHMOND, VA 23226-2616
(804) 288-4410
(804) 288-4458
Mailing address
420 LIBBIE AVENUE, RICHMOND, VA 23226-2616
(804) 288-4410
(804) 288-4458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101059025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1229850
AETNA HMO
VA
01
—
187989
ANTHEM
VA
01
—
7229207
AETNA NON-HMO
VA
Enumeration date
11/30/2006
Last updated
10/25/2013
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