Individual
DR. LAURA ALOIS CHARETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 CONCERT DR, SUITE 202, VIRGINIA BEACH, VA 23456-8082
(757) 453-6711
(757) 301-6496
Mailing address
917 GREAT MARSH AVE, CHESAPEAKE, VA 23320-0682
(757) 548-0953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101046939
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13102
OPTIMA HEALTH CARE
—
05
—
1700844016
—
VA
01
—
250440
ANTHEM BLUE CROSS
—
Enumeration date
05/03/2006
Last updated
12/07/2012
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