Individual
LAURA ANN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4320 SEMINARY RD, INOVA ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 22304-1535
(703) 504-3789
(703) 504-3556
Mailing address
68 S SERVICE RD, STE 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101053506
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902805468
—
VA
Enumeration date
07/18/2005
Last updated
03/13/2015
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