Individual
LAURA LYNN HARVATINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8680 HOSPITAL WAY, MANASSAS, VA 20110-4287
(703) 369-8464
(703) 369-8467
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-8464
(703) 369-8467
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101248674
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669407573
—
VA
Enumeration date
07/11/2006
Last updated
05/13/2015
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