Dr. Lara Mamikonian
Pediatrician Anesthesiologist Pediatric Critical Care Doctor
601 Children's Lane Children's Hospital Of The King's Daughters
Norfolk
, Virginia 23502
Dr. Lara Mamikonian
Pediatrician Anesthesiologist Pediatric Critical Care Doctor
601 Children's Lane Children's Hospital Of The King's Daughters
Norfolk
, Virginia 23502
(585) 905-9377
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About
Features
Specialties
- Anesthesiologist
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Lara Mamikonian
- 601 Children's Lane Children's Hospital Of The King's Daughters
- Norfolk, VA
- Zip : 23502
- Phone : (585) 905-9377
Second Address
- Dr. Lara Mamikonian
- 601 Children's Lane Children's Hospital Of The King's Daughters
- Norfolk, VA
- Zip : 23502
- Phone : (585) 905-9377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 0101251975 | VA |
| N | 208000000X | Pediatrician | 2009-00675 | NC |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 0101251975 | VA |
National Provider Identifier
| NPI | 1154337954 |
|---|---|
| Provider Name | Dr. Lara Mamikonian |
| First Address | Norfolk, VA 23502 |
| Second Address | Norfolk, VA 23502 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 28/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.