Provider Demographics
NPI:1659347839
Name:SPINELLI, LAURA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:SPINELLI
Suffix:
Gender:
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:PO BOX 9099
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-9099
Mailing Address - Country:US
Mailing Address - Phone:903-663-4800
Mailing Address - Fax:419-223-2726
Practice Address - Street 1:500 MARTHA JEFFERSON DR.
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911
Practice Address - Country:US
Practice Address - Phone:434-654-7955
Practice Address - Fax:434-654-7944
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101230737207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006606652Medicaid
H38544Medicare UPIN
VA220000722Medicare PIN
VA220031353Medicare PIN