Individual
DR. LAURANCE W KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049
Mailing address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101232306
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010062730
—
VA
01
—
114451
ANTHEM
VA
01
—
J4230003
CAREFIRST
—
Enumeration date
12/12/2006
Last updated
02/07/2022
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