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NPI Code Detail

MEDICARE: DR. LAURA PICKFORD M.D.

MEDICARE:  DR. LAURA  PICKFORD  M.D.
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
1207V00000XObstetrics & Gynecology Physician0101058756VA

General Provider Information

NPI Number : 1356327381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA PICKFORD M.D.
Provider Business Mailing Address
First Line : 4001 FAIR RIDGE DR
Second Line : SUITE 301
City : FAIRFAX
State : VA
Zip : 22033-2917
Country : US
Telephone Number : 703-359-5900
Fax Number : 703-359-9138
Provider Business Practice Location Address
First Line : 4001 FAIR RIDGE DR
Second Line : SUITE 301
City : FAIRFAX
State : VA
Zip : 22033-2917
Country : US
Telephone Number : 703-359-5900
Fax Number : 703-359-9138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LAURA PICKFORD M.D.” Practice Location

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