| Laburnum Medical Center | |
|
4620 S Laburnum Ave Richmond VA 23231 | |
| (804) 226-2444 | |
| (804) 222-0458 |
| Full Name | Laburnum Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4620 S Laburnum Ave, Richmond, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laburnum Medical Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Laburnum Medical Center 4620 S Laburnum Ave Richmond VA 23231 Ph: (804) 226-2444 |
| NPI Number | 1003849589 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003849589 | NPI | - | NPPES |
| CN5711 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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