Individual
SARA LORRAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5801 BREMO RD, ST MARY'S HOSPITAL PICU, RICHMOND, VA 23226-1907
(804) 281-8222
(804) 281-8007
Mailing address
5801 BREMO RD, ST MARY'S HOSPITAL PICU, RICHMOND, VA 23226-1907
(804) 281-8222
(804) 281-8007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101049834
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09463
GROUP PTAN
VA
Enumeration date
07/18/2006
Last updated
04/16/2013
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