Provider Demographics
NPI:1588112395
Name:DORSETT, LAURA ELIZABETH (RYT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:DORSETT
Suffix:
Gender:F
Credentials:RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9457 LOVAT RD
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-9638
Mailing Address - Country:US
Mailing Address - Phone:202-812-1492
Mailing Address - Fax:
Practice Address - Street 1:6829 ELM ST STE 300
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3845
Practice Address - Country:US
Practice Address - Phone:703-532-4892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain