Healthcare Provider Details

I. General information

NPI: 1508853078
Provider Name (Legal Business Name): REBECCA LAYMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 12/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 FOUNDERS WAY SUITE #2
STRASBURG VA
22657-3772
US

IV. Provider business mailing address

116 FOUNDERS WAY SUITE #2
STRASBURG VA
22657-3772
US

V. Phone/Fax

Practice location:
  • Phone: 540-465-3235
  • Fax: 540-465-3619
Mailing address:
  • Phone: 540-465-3235
  • Fax: 540-465-3619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101229133
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: