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Individual

LAURIE SUE GIERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 24TH ST APT HILL, FORT LEE, VA 23801
(804) 633-8339
Mailing address
11507 RIVER MEADOWS WAY, FREDERICKSBURG, VA 22408-8001
(540) 374-1349

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0110001767
VA
363AM0700X
Medical Physician Assistant
0110001767
VA

Other

Enumeration date
02/24/2006
Last updated
06/29/2018
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