Organization
DIGESTIVE DISEASE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE S PETERS M.D. (PRESIDENT)
(703) 751-5763
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, SUITE #305, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 370-8704
Mailing address
4660 KENMORE AVE, SUITE #305, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 370-8704
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6079954
—
VA
Enumeration date
04/25/2007
Last updated
08/22/2020
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