Individual provider · Type 1 NPI

Laura Anne De Ravin, MD

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1275475436 Active

Practice location

1215 Lee St
Charlottesville, VA 22908-0816

Fax (434) 982-0019

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275475436

Laura Anne De Ravin, MD's National Provider Identifier is 1275475436, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Apr 7, 2026.