Individual
MRS. LAURA ANN LAVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2580 FRONTAGE RD, PETERSBURG, VA 23805-9309
(804) 732-0202
(804) 863-1729
Mailing address
11307 PENNYROYAL CT, MECHANICSVILLE, VA 23116-5207
(757) 870-8957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168477
VA
Other
Enumeration date
10/27/2009
Last updated
04/26/2023
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