MEDICARE: LAUREN N HUDDLE 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	207ZF0201X	Forensic Pathology Physician	0101248185	VA

General Provider Information

NPI Number	:	1538396825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN N HUDDLE MD

Provider Business Mailing Address
First Line	:	400 E JACKSON ST
Second Line	:	OFFICE OF THE CHIEF MEDICAL EXAMINER
City	:	RICHMOND
State	:	VA
Zip	:	23219-1438
Country	:	US
Telephone Number	:	804-786-3174
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E JACKSON ST
Second Line	:	OFFICE OF THE CHIEF MEDICAL EXAMINER
City	:	RICHMOND
State	:	VA
Zip	:	23219-1438
Country	:	US
Telephone Number	:	804-786-3174
Fax Number	:

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

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	06/17/2014

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