Healthcare Provider Details

I. General information

NPI: 1629699004
Provider Name (Legal Business Name): LAURA ANN STARZENSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LEE STREET MAILSTOP 800710
CHARLOTTESVILLE VA
22908
US

IV. Provider business mailing address

2311 CRYSTAL SPRING AVE SW APT B
ROANOKE VA
24014-2429
US

V. Phone/Fax

Practice location:
  • Phone: 434-982-0629
  • Fax: 434-982-0019
Mailing address:
  • Phone: 703-297-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101289915
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: