Individual
DR. LAURA J. MARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
414 MAIN ST, WARSAW, VA 22572-4291
(804) 333-3671
(804) 333-3657
Mailing address
414 MAIN ST, WARSAW, VA 22572-4291
(804) 693-5068
(804) 693-7407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101053093
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140026
ANTHEM
VA
05
—
140026
—
VA
01
—
140027
HEALTHKEEPERS
VA
05
—
140027
—
VA
01
—
15-13209
UNITED BEHAVIORAL HEALTH
VA
01
—
2004239
CIGNA
VA
01
—
331733
TRICARE
VA
01
—
406380
VALUE OPTIONS
VA
01
—
7303231
AETNA
VA
01
—
O83589
SOUTHERN HEALTH
VA
05
—
O83589
—
VA
Enumeration date
04/03/2006
Last updated
07/09/2007
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