Individual
DR. LAUREN K WOOD HEICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-0123
(434) 243-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101254366
VA
2080P0205X
Pediatric Endocrinology Physician
Primary
0101258403
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2012
Last updated
08/14/2019
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