MEDICARE: DR. LAURA SCHUETZ WRIGHT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD D0053901	MD
2	208000000X	Pediatrics Physician	0101242516	VA

General Provider Information

NPI Number	:	1174594352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA SCHUETZ WRIGHT MD

Provider Business Mailing Address
First Line	:	PO BOX 7068
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23707-0068
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	4868 BRIDGE RD
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23435-2048
Country	:	US
Telephone Number	:	757-483-7113
Fax Number	:	757-483-7151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	03/01/2013

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