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NPI Code Detail

MEDICARE: KRISTINE MARIE LAURIA CPM

MEDICARE:   KRISTINE MARIE LAURIA  CPM
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
1176B00000XMidwife0129000030VA

General Provider Information

NPI Number : 1538332846
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE MARIE LAURIA CPM
Provider Business Mailing Address
First Line : 8247 FORT VALLEY RD
Second Line :
City : FORT VALLEY
State : VA
Zip : 22652-2013
Country : US
Telephone Number : 540-933-6934
Fax Number :
Provider Business Practice Location Address
First Line : 8247 FORT VALLEY RD
Second Line :
City : FORT VALLEY
State : VA
Zip : 22652-2013
Country : US
Telephone Number : 540-933-6934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 04/08/2008

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Directions to “ KRISTINE MARIE LAURIA CPM” Practice Location

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