Individual provider · Type 1 NPI

Laura Jane Vidis, DO

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

NPI number 1992382030 Active

Practice location

1215 Lee St # 800904
Charlottesville, VA 22908-0816

Call (434) 924-1946 Map

Fax (434) 924-9492

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0102209133 (VA)

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.

5 other providers at this address

Other student in an organized health care education/training program providers in Charlottesville

See all in Charlottesville →

About NPI 1992382030

Laura Jane Vidis, DO's National Provider Identifier is 1992382030, issued on Mar 25, 2021. 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 Jun 23, 2025.