Healthcare Provider Details

I. General information

NPI: 1780974121
Provider Name (Legal Business Name): LAURA SPECTOR ANDERSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA ALISON SPECTOR D.O.

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13710 ST FRANCIS BLVD STE 305
MIDLOTHIAN VA
23114-3267
US

IV. Provider business mailing address

1 MEDICAL CENTER BLVD
CHESTER PA
19013-3902
US

V. Phone/Fax

Practice location:
  • Phone: 804-320-2483
  • Fax:
Mailing address:
  • Phone: 610-447-6643
  • Fax: 808-947-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS021524
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207VC0200X
TaxonomyCritical Care Medicine (Obstetrics & Gynecology) Physician
License NumberDOS 1668
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102206463
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDOS1668
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: