Healthcare Provider Details

I. General information

NPI: 1952951212
Provider Name (Legal Business Name): LAINE HOBBS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2019
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 JEFFERSON AVE
FORT EUSTIS VA
23604-1373
US

IV. Provider business mailing address

229 GOLDEN MAPLE DR
CHESAPEAKE VA
23322-4172
US

V. Phone/Fax

Practice location:
  • Phone: 757-314-7900
  • Fax:
Mailing address:
  • Phone: 757-681-2366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0203017229
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: