Individual
LORA MARIE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 GODWIN BLVD, PATHOLOGY DEPT, SUFFOLK, VA 23434-8038
(757) 934-4000
Mailing address
PO BOX 79671, BALTIMORE, MD 21279-0671
(757) 388-3221
(757) 388-3799
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101054078
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101054078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629067137
—
VA
Enumeration date
10/18/2005
Last updated
06/29/2010
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