Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0102201933 | VA |
N | 208D00000X | General Practice Physician | 0102201933 | VA |
NPI | 1033126552 |
---|---|
Provider Name | Dr. Lauren Ann Doyle |
First Address | Chesapeake, VA 23322-8378 |
Second Address | Virginia Beach, VA 23452-4445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |