MEDICARE: LAURA BUCHWALDER 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	208000000X	Pediatrics Physician	0101286136	VA

General Provider Information

NPI Number	:	1780334896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BUCHWALDER MD

Provider Business Mailing Address
First Line	:	2567 OLDE HILL CT S
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3634
Country	:	US
Telephone Number	:	937-371-4175
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 CHILDREN'S LANE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-9982
Country	:	US
Telephone Number	:	757-668-7249
Fax Number	:

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

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	06/02/2026

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