Blakemore, Laurel Claire
Blakemore, Laurel Claire is an individual health care provider with primary practice located at 3023 Hamaker Ct Ste 200 , Fairfax VA 22031-2240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Blakemore, Laurel Claire can be contacted via phone (703) 848-6627.Contact Information
Primary practice address
3023 Hamaker Ct Ste 200
Fairfax VA 22031-2240
Phone: (703) 848-6627
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME117758 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | MD034954 | District of Columbia |
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 0101236348 | Virginia |
Profile Details
NPI number | 1831289206 |
---|---|
LBN Legal business name | Blakemore, Laurel Claire |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Aug 27th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831289206 | NPPES |
Florida | MEDICAID | 009880000 |
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