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Individual

DR. LAUREN ROSE GRANATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101242984
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10032520
OPTIMA
VA
01
139178
BCBS
VA
05
5910265
NC
01
P00616142
RR MEDICARE
VA
Enumeration date
11/21/2006
Last updated
02/07/2014
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