Individual
DR. JAMIE LAUREN DERMATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1700 PLEASURE ROAD, #101, VIRGINIA BEACH, VA 23455
(757) 363-3338
Mailing address
2401 LOCKSLEY ARCH, VIRGINIA BEACH, VA 23456-6998
(410) 487-4844
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0103301234
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
05/01/2018
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