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General NPI Number Information
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NPI Number | 1790647337
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Entity Type | Organization
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Legal Business Name | LAURA MEADOWS, LIP PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 9633 10TH BAY ST APT 8
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City | NORFOLK
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State | VA
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Zip | 23518-1347
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Country | US
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Telephone | 757-698-1379
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Fax |
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Provider Business Mailing Address
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Address Line | 9633 10TH BAY STREETWISE 8
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City | FPO
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State | AA
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Zip | 23518
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Country | US
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Telephone | 757-698-1379
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Fax |
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Authorized Official
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Title or Position | QMB
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Name | DR. LAURA N MEADOWS CRISTIAAN
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Credential | D.O.
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Telephone | 757-698-1379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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