LAURA LYNN KOON PAC NPI 1386970747

NPI Information

NPI: 1386970747
Provider Name: LAURA LYNN KOON, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8266 ATLEE RD STE 224
MECHANICSVILLE, VA
ZIP 23116
Phone: (804) 454-7240
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Laura Lynn Koon, PAC is a medical physician assistant in Mechanicsville, VA with 15 years of experience. Laura Lynn Koon, PAC NPI is 1386970747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8266 ATLEE RD STE 224
MECHANICSVILLE, VA
ZIP 23116-813
Phone: (804) 454-7240

The NPI 1386970747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 12/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0110-003378	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1699850032	MEDICAID	VIRGINIA
2	0110003378	OTHER	VIRGINIA	LICENSE
3	P00869721	OTHER		RR MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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