Individual
NICHOLE LYNN LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-8975
(540) 667-6589
Mailing address
128 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-8975
(540) 667-6589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00110002389
VA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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