Blakemore, Laurel Claire

Blakemore, Laurel Claire is an individual health care provider with primary practice located at 3023 Hamaker Ct Ste 200 , Fairfax VA 22031-2240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is her primary health care specialty. Blakemore, Laurel Claire can be contacted via phone (703) 848-6627.

Contact Information

Primary practice address
3023 Hamaker Ct Ste 200 Fairfax VA 22031-2240
Phone: (703) 848-6627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME117758 Florida
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X MD034954 District of Columbia
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 0101236348 Virginia

Profile Details

NPI number 1831289206
LBN Legal business name Blakemore, Laurel Claire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831289206 NPPES
Florida MEDICAID 009880000

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