Individual
LAURA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11484 WASHINGTON PLZ W, RESTON, VA 20190-4344
(540) 536-5500
(703) 443-2000
Mailing address
310 WATERMILL RUN, NEWPORT NEWS, VA 23606-1251
(757) 319-2554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005919
VA
Other
Enumeration date
09/22/2017
Last updated
02/28/2020
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