person
Laura Lynn Koon, PAC
Medical Physician Assistant in Mechanicsville, Virginia
NPI 1386970747

Laura Lynn Koon is a Medical Physician Assistant based in Midlothian, VA and is specialized in Medical. Laura Lynn Koon practices in Mechanicsville, VA and has the professional credentials of PAC. The NPI Number for Laura Lynn Koon is 1386970747 and holds a License No. 0110-003378 (Virginia).

The current practice location address for Laura Lynn Koon is 8266 Atlee Rd Ste 224, Mechanicsville, VA and can be reached out via phone at 804-454-7240. You can also correspond with Laura Lynn Koon through the mailing address at 3730 RIVERMIST TER, MIDLOTHIAN, VA - 23113-3740 (mailing address contact number: 804-613-8309).

Location: 8266 Atlee Rd Ste 224, Mechanicsville, VA, 23113-3740
person
Provider Profile Details
NPI Number
1386970747
Provider Name
Laura Lynn Koon
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
8266 Atlee Rd Ste 224, Mechanicsville, VA, 23113-3740
Phone Number
804-454-7240
Fax Number
Provider Enumeration Date
10/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699850032 05 VA
0110003378 01 VA LICENSE
P00869721 01 RR MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
8266 Atlee Rd Ste 224
City
State
Zip
23116-1813
Phone Number
804-454-7240
Fax Number
person
Provider Business Mailing Address Details
Address
8266 Atlee Rd Ste 224
City
State
Zip
23116-1813
Phone Number
804-454-7240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110-003378 (Virginia)
Definition
Definition to come...
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