Individual
MS. LAURIE D HEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13608 FARMBELL CT, HERNDON, VA 20171-3329
(703) 579-0988
Mailing address
13608 FARMBELL CT, HERNDON, VA 20171-3329
(703) 579-0988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0119003996
VA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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