Dr. Laura Anne Boomer
Pediatric Surgery
1250 E Marshall St
Richmond
, Virginia 23298-5051
Dr. Laura Anne Boomer
Pediatric Surgery
1250 E Marshall St
Richmond
, Virginia 23298-5051
(804) 342-7619
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Laura Anne Boomer
- Po Box 91734
- Richmond, VA
- Zip : 23291-1734
- Fax : (804) 342-7619
- Phone : (804) 358-6100
Second Address
- Dr. Laura Anne Boomer
- 1250 E Marshall St
- Richmond, VA
- Zip : 23298-5051
- Fax : (804) 828-8606
- Phone : (804) 828-3500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 0101252572 | VA |
National Provider Identifier
| NPI | 1629192836 |
|---|---|
| Provider Name | Dr. Laura Anne Boomer |
| First Address | Richmond, VA 23291-1734 |
| Second Address | Richmond, VA 23298-5051 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2007 |
| Last Update Date | 18/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0101262572 | MEDICAL LICENSE (01) | VA |
| FB4552825 | DEA (01) |
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.