Healthcare Provider Details

I. General information

NPI: 1043308224
Provider Name (Legal Business Name): LAURA N DABINETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 PLAZA DRIVE
WINCHESTER VA
22601
US

IV. Provider business mailing address

1820 PLAZA DR
WINCHESTER VA
22601-6365
US

V. Phone/Fax

Practice location:
  • Phone: 540-665-8833
  • Fax: 540-667-2476
Mailing address:
  • Phone: 540-665-8414
  • Fax: 540-667-2476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0101043573
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: