Individual
LAURA A CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182
Mailing address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0017001640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017001640
VA DEPT HEALTH PROF AUTHO
VA
01
—
0024109729
BD OF NURSING NP
VA
Enumeration date
04/23/2007
Last updated
07/08/2007
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