Provider Demographics
NPI:1689248528
Name:WOODS, LAURA ISABEL
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ISABEL
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 N PERSHING DR APT 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-3456
Mailing Address - Country:US
Mailing Address - Phone:517-275-7180
Mailing Address - Fax:
Practice Address - Street 1:3905 N PERSHING DR APT 2
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-3456
Practice Address - Country:US
Practice Address - Phone:517-275-7180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-15
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor