Provider Demographics
NPI:1225136310
Name:STONE, LAURA R (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:R
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39070 JOHN MOSBY HWY
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105
Mailing Address - Country:US
Mailing Address - Phone:703-327-2434
Mailing Address - Fax:703-327-2729
Practice Address - Street 1:39070 JOHN MOSBY HWY
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105
Practice Address - Country:US
Practice Address - Phone:703-327-2434
Practice Address - Fax:703-327-2729
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050302207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE57776Medicare UPIN