Laura A Muntzer, PA-C
Physician Assistant in Leesburg, VA. Individual provider (NPI-1).
NPI number1184635450
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1184635450
- Entity type
- Individual (NPI-1)
- Name
- Laura A Muntzer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2006
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001703 | VA | Yes |
| 363AM0700X | Physician Assistant, Medical | 0110001703 | VA |
Other names
- Laura A Lesch (Former Name)
Practice location
44035 Riverside Pkwy#400
Leesburg, VA 20176-8260
Phone 703-858-5421 · Fax 703-858-9573
Mailing address
2901 Telestar Ct Ste 300Falls Church, VA 22042-1263
Phone 703-591-1688 · Fax 703-591-1445
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