Individual
LAURA ELIZABETH GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
202 8TH ST, RADFORD, VA 24141-2426
(540) 639-5188
(540) 639-9215
Mailing address
202 8TH ST, RADFORD, VA 24141-2426
(540) 639-5188
(540) 639-9215
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003909
VA
Other
Enumeration date
07/10/2012
Last updated
07/24/2014
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