Individual
DR. LAURA R CARUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL STREET, RADIOLOGY, RICHMOND, VA 23298-0470
(804) 828-8262
(804) 828-6129
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101232583
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007242212 541581185
—
VA
Enumeration date
09/08/2006
Last updated
07/08/2007
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