MEDICARE: LAURA DABNEY

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	2084P0800X	Psychiatry Physician	0101058945	VA

General Provider Information

NPI Number	:	1528499035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA DABNEY

Provider Business Mailing Address
First Line	:	4542 BONNEY RD STE D
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3867
Country	:	US
Telephone Number	:	757-340-8800
Fax Number	:	757-340-0032

Provider Business Practice Location Address
First Line	:	4542 BONNEY RD STE D
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3867
Country	:	US
Telephone Number	:	757-340-8800
Fax Number	:	757-340-0032

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

Provider Enumeration Date	:	12/09/2013
Last Update Date	:	12/09/2013

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