Provider Demographics
NPI:1275628778
Name:FEINBERG, LAURIE SUSAN (MD)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:SUSAN
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:SUSAN
Other - Last Name:CUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3130 FAIRVIEW PARK DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4529
Mailing Address - Country:US
Mailing Address - Phone:703-269-6059
Mailing Address - Fax:703-269-5701
Practice Address - Street 1:3130 FAIRVIEW PARK DR
Practice Address - Street 2:SUITE 500
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4529
Practice Address - Country:US
Practice Address - Phone:703-269-6059
Practice Address - Fax:703-269-5701
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051825208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation