Provider Demographics
NPI:1811145253
Name:LAPLANTE, MARIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LAPLANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:RANSON
Mailing Address - State:WV
Mailing Address - Zip Code:25438-1617
Mailing Address - Country:US
Mailing Address - Phone:304-725-6343
Mailing Address - Fax:
Practice Address - Street 1:67 RIVERTON COMMONS DR
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6768
Practice Address - Country:US
Practice Address - Phone:540-635-0848
Practice Address - Fax:540-749-2190
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV26372207N00000X, 207Q00000X
TXQ2791207Q00000X
VA0101246330207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101246330Medicaid
TX340177001Medicaid
WV3810030015Medicaid
TX340177002OtherCSHCN
TX366259YK00Medicare PIN