Organization
AVITA MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEE MINOR CRNP, FNP-BC, LMT (CEO)
(202) 486-2881
Entity
Organization
Contact information
Practice address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(800) 484-2115
(800) 484-2115
Mailing address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(800) 484-2115
(800) 484-2115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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