Provider Demographics
NPI:1841993680
Name:PERRY, LAURA (IHP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 HARBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4720
Mailing Address - Country:US
Mailing Address - Phone:804-399-0468
Mailing Address - Fax:
Practice Address - Street 1:1602 HARBOROUGH RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4720
Practice Address - Country:US
Practice Address - Phone:804-399-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach