Individual
LAUREL WONG CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BOULEVARD, 1B-236, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5670
Mailing address
1201 BROAD ROCK BLVD # 1B-236, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101264208
VA
Other
Enumeration date
04/03/2014
Last updated
01/08/2021
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