Koon, Laura Lynn

Koon, Laura Lynn is an individual health care provider with primary practice located at 8266 Atlee Rd Ste 224 , Mechanicsville VA 23116-1813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Koon, Laura Lynn can be contacted via phone (804) 454-7240.

Contact Information

Primary practice address
8266 Atlee Rd Ste 224 Mechanicsville VA 23116-1813
Phone: (804) 454-7240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110-003378 Virginia

Profile Details

NPI number 1386970747
LBN Legal business name Koon, Laura Lynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Dec 4th, 2022 - about 4 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 1386970747 NPPES
Virginia MEDICAID 1699850032
Virginia Other 0110003378
Virginia Other P00869721

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