Individual provider · Type 1 NPI

Laura R. Tudor, PA

Medical Physician Assistant · Richmond, VA

NPI number 1144616905 Active

Practice location

1250 E Marshall St, Dept. Of Emergency Medicine
Richmond, VA 23298-5051

Call (804) 828-0996 Map

Fax (804) 628-0384

Mailing address

PO Box 91734
Richmond, VA 23291-1734

Other practice locations

  • 2495 Pocahontas Trl, Quinton, VA 23141-1637 · (804) 932-5500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110005425 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1144616905

Laura R. Tudor, PA's National Provider Identifier is 1144616905, issued on Apr 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richmond, VA. The record was last updated on May 10, 2021.