Boomer, Laura Anne

Boomer, Laura Anne is an individual health care provider with primary practice located at 1250 E Marshall St , Richmond VA 23298-5051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Boomer, Laura Anne can be contacted via phone (804) 828-3500.

Contact Information

Primary practice address
1250 E Marshall St Richmond VA 23298-5051
Phone: (804) 828-3500
Fax: (804) 828-8606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101252572 Virginia

Profile Details

NPI number 1629192836
LBN Legal business name Boomer, Laura Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629192836 NPPES
Virginia Other 0101262572 MEDICAL LICENSE

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