Provider Demographics
NPI:1760275689
Name:MEADOWS, LAURA N (DO)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:N
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:N
Other - Last Name:CRISTIAAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BUSINESS LICENSED IN
Mailing Address - Street 1:9633 10TH BAY ST APT 8
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1347
Mailing Address - Country:US
Mailing Address - Phone:757-698-1379
Mailing Address - Fax:
Practice Address - Street 1:9633 10TH BAY ST APT 8
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1347
Practice Address - Country:US
Practice Address - Phone:757-698-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0004254146D00000X
VA0101251212207PH0002X
VAC7-0004254103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA124152671OtherUNITEDHEALTHCARE