Healthcare Provider Details

I. General information

NPI: 1790647337
Provider Name (Legal Business Name): LAURA MEADOWS, LIP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
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 STREETWISE 8
FPO AA
23518
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 TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA N MEADOWS CRISTIAAN
Title or Position: QMB
Credential: D.O.
Phone: 757-698-1379