Organization
ALLERGY ASTHMA & IMMUNOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ISPAS-PONAS M.D. (CEO/PRESIDENT)
(571) 399-5132
Entity
Organization
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 205, LANSDOWNE, VA 20176-8100
(571) 399-5132
(703) 723-9800
Mailing address
19455 DEERFIELD AVE, SUITE 205, LANSDOWNE, VA 20176-8100
(571) 399-5132
(703) 723-9800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101249276
VA
Other
Enumeration date
12/13/2013
Last updated
04/14/2016
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