Mamikonian, Lara

Mamikonian, Lara is an individual health care provider with primary practice located at 601 Children'S Lane Children'S Hospital Of The King'S Daughters, Norfolk VA 23502. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Mamikonian, Lara can be contacted via phone (585) 905-9377.

Contact Information

Primary practice address
601 Children'S Lane Children'S Hospital Of The King'S Daughters Norfolk VA 23502
Phone: (585) 905-9377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101251975 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101251975 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-00675 North Carolina

Profile Details

NPI number 1154337954
LBN Legal business name Mamikonian, Lara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 28th, 2019 - about 6 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.

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