Individual
DR. LAURA R CORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD STE 110, NEWPORT NEWS, VA 23606-4430
(757) 223-9794
(757) 223-9168
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101235476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010139813
—
VA
01
—
172185
ANTHEM
VA
01
—
343762 (RICHMOND RD)
ANTHEM
VA
01
—
P00223452
RR/MEDICARE
—
Enumeration date
09/01/2005
Last updated
03/29/2021
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