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NPI Code Detail

MEDICARE: LAURA BRINN CRUSER

MEDICARE: LAURA BRINN CRUSER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramVA

General Provider Information

NPI Number : 1427995810
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA BRINN CRUSER
Provider Business Mailing Address
First Line : 1415 ARMISTEAD BRIDGE RD
Second Line :
City : NORFOLK
State : VA
Zip : 23507-1035
Country : US
Telephone Number : 757-977-7064
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8001
Country : US
Telephone Number : 757-683-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2026
Last Update Date : 05/02/2026

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Directions to “ LAURA BRINN CRUSER ” Practice Location

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