MEDICARE: LAURA MEADOWS, LIP PLLC

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	207PH0002X	Hospice and Palliative Medicine (Emergency Medicine) Physician

General Provider Information

NPI Number	:	1790647337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA MEADOWS, LIP PLLC

Provider Business Mailing Address
First Line	:	9633 10TH BAY STREETWISE 8
Second Line	:
City	:	FPO
State	:	AA
Zip	:	23518
Country	:	US
Telephone Number	:	757-698-1379
Fax Number	:

Provider Business Practice Location Address
First Line	:	9633 10TH BAY ST APT 8
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-1347
Country	:	US
Telephone Number	:	757-698-1379
Fax Number	:

Authorized Official
Title or Position	:	QMB
Name	:	DR. LAURA N MEADOWS CRISTIAAN
Credential	:	D.O.
Telephone Number	:	757-698-1379

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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