Provider Demographics
NPI:1750452926
Name:BRYKCZYNSKI, LAURA LESLIE (OD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LESLIE
Last Name:BRYKCZYNSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:251 W LEE HWY STE 632
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-2096
Practice Address - Country:US
Practice Address - Phone:540-428-3937
Practice Address - Fax:540-428-4940
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002031152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist