Healthcare Provider Details

I. General information

NPI: 1760275689
Provider Name (Legal Business Name): LAURA N MEADOWS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA N CRISTIAAN BUSINESS LICENSED IN

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9633 10TH BAY ST APT 8
NORFOLK VA
23518-1347
US

IV. Provider business mailing address

9633 10TH BAY ST APT 8
NORFOLK VA
23518-1347
US

V. Phone/Fax

Practice location:
  • Phone: 757-698-1379
  • Fax:
Mailing address:
  • Phone: 757-698-1379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License NumberC7-0004254
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number0101251212
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberC7-0004254
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: