Provider Demographics
NPI:1689022188
Name:TILMAN, LAURA WHEAT (DO)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:WHEAT
Last Name:TILMAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:INOVA CHILDRENS HOSPITAL PEDIATRIC RESIDENCY PROGRAM
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-7834
Practice Address - Fax:703-776-4323
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2022-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0116029012208000000X
VA0102205710208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics