Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101049273 | VA |
NPI | 1003923111 |
---|---|
Provider Name | Paula A Labriola |
First Address | Woodbridge, VA 22191 |
Second Address | Woodbridge, VA 22191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 19/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6713122 | (05) | VA |
F78012 | (02) |