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Individual

DR. LARA MEILI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1503 SANTA ROSA RD, SUITE 105, RICHMOND, VA 23229-5105
(804) 673-0100
Mailing address
2621 PARK GREEN WAY, GLEN ALLEN, VA 23060-4472
(804) 553-4639

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002648
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
249151
ANTHEM
VA
Enumeration date
01/05/2007
Last updated
10/29/2009
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