MEDICARE: LAURENCE WILLIAM ENDERSON III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	0101040021	VA

General Provider Information

NPI Number	:	1093752354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURENCE WILLIAM ENDERSON III MD

Provider Business Mailing Address
First Line	:	1080 FIRST COLONIAL RD STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2406
Country	:	US
Telephone Number	:	757-395-6070
Fax Number	:	757-395-6381

Provider Business Practice Location Address
First Line	:	1080 FIRST COLONIAL RD STE 200
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2406
Country	:	US
Telephone Number	:	757-395-6070
Fax Number	:	757-395-6381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	04/22/2022

Similar Medicare Providers

1932487956 — TIFFINEY SMITH THOMPSON NP
Practice Location Address:

1080 FIRST COLONIAL RD STE 403
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-1850
Practice Fax: 855-707-7855

1003809112 — MR. JAY I TISCHLER DPM
Practice Location Address:

1080 FIRST COLONIAL RD , STE 400
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-1880
Practice Fax: 757-431-7770

1356331987 — LESLIE J KRYZANOWSKI M.D.
Practice Location Address:

1080 FIRST COLONIAL RD , SUITE 400
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-8720
Practice Fax: 757-395-8821

1013982289 — DR. CHRISTOPHER J WRUBEL M.D.
Practice Location Address:

1080 FIRST COLONIAL RD , STE 412
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-6500
Practice Fax: 757-275-9885

1982679270 — DR. KRISTEN D JALBERT M.D.
Practice Location Address:

1080 FIRST COLONIAL RD , STE 200
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-6630
Practice Fax: 757-507-9074

1902854540 — DR. LEANELLE GOLDSTEIN MD
Practice Location Address:

1080 FIRST COLONIAL RD STE 200
VIRGINIA BEACH, VA
23454-2406

Practice Phone: 757-395-6070
Practice Fax: 757-395-6381

Directions to “ LAURENCE WILLIAM ENDERSON III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.