Individual
LAURA DZIADZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2015 TATE SPRINGS RD STE A2, LYNCHBURG, VA 24501-1100
(434) 846-2244
(434) 846-0602
Mailing address
1505 FRANKLIN RD SW, ROANOKE, VA 24016-5206
(540) 343-7331
(540) 343-7349
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101245028
VA
207KA0200X
Allergy Physician
0101245028
VA
Other
Enumeration date
08/27/2006
Last updated
06/18/2020
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