Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101238567 | VA |
N | 207RA0401X | Internist - Addiction Medicine | 0101238567 | VA |
NPI | 1427027374 |
---|---|
Provider Name | Dr. Laura Crittenden Toombs |
First Address | Chesterfield, VA 23838-5705 |
Second Address | Chesterfield, VA 23838-5705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I46687 | (02) | VA |