MARINA SHORES OB/GYN NPI 1417492034

NPI Information

MARINA SHORES OB/GYN is an obstetrics gynecology in Virginia Beach, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARINA SHORES OB/GYN NPI is 1417492034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2865 LYNNHAVEN DR
SUITE 4A
VIRGINIA BEACH, VA
ZIP 23451-542
Phone: (757) 496-5000

The provider's authorized official is Lani Marie Warren .
The authorized official title is Ob/gyn Physician and has the following contact phone number (757) 496-5000.

The CLIA number assigned to this NPI record is 49D2165180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 3/24/2017.

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:

Other Identifiers

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