De Grand, Laurie Upton
De Grand, Laurie Upton is an individual health care provider with primary practice located at 828 Healthy Way Ste 330 , Virginia Beach VA 23462-7959. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. De Grand, Laurie Upton can be contacted via phone (757) 461-3890.Contact Information
Primary practice address
828 Healthy Way Ste 330
Virginia Beach VA 23462-7959
Phone: (757) 461-3890
Fax: (757) 467-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101250763 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101250763 | Virginia |
Profile Details
| NPI number | 1922204759 |
|---|---|
| LBN Legal business name | De Grand, Laurie Upton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jun 1st, 2021 - 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 | 1922204759 | NPPES |
| Virginia | Other | -002 | TRICARE/CHAMPUS |
| Virginia | Other | 448890 | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 5918931 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 1922204759 | TRICARE/CHAMPUS |
| Virginia | MEDICAID | 1922204759 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 1922204759 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 10085658 | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | PAR | TRICARE/CHAMPUS |
| Virginia | Other | 1922204759 | TRICARE/CHAMPUS |
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