Provider Demographics
NPI:1790647337
Name:LAURA MEADOWS, LIP PLLC
Entity type:Organization
Organization Name:LAURA MEADOWS, LIP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QMB
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MEADOWS CRISTIAAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:757-698-1379
Mailing Address - Street 1:9633 10TH BAY STREETWISE 8
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AA
Mailing Address - Zip Code:23518
Mailing Address - Country:US
Mailing Address - Phone:757-698-1379
Mailing Address - Fax:
Practice Address - Street 1:9633 10TH BAY ST APT 8
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1347
Practice Address - Country:US
Practice Address - Phone:757-698-1379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAURA MEADOWS, LIP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative MedicineGroup - Multi-Specialty