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MS. LAURA ANN RICARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8180 GREENSBORO DR, STE 300, MC LEAN, VA 22102-3888
(703) 810-5217
(703) 810-5423
Mailing address
1760 OLD MEADOW RD STE 500, MC LEAN, VA 22102-4306

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002487
VA
363AM0700X
Medical Physician Assistant
1871
MA
363AM0700X
Medical Physician Assistant
PA030418
DC

Other

Enumeration date
12/13/2006
Last updated
04/07/2023
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