Provider Demographics
NPI:1871522730
Name:LAFLAM, PAUL FREDERICK (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FREDERICK
Last Name:LAFLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2900 LAMB CIR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6344
Mailing Address - Country:US
Mailing Address - Phone:540-633-5650
Mailing Address - Fax:540-633-5659
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:SUITE 190
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-633-5650
Practice Address - Fax:540-633-5659
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101254170207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1871522730Medicaid
NH30208895Medicaid
VT1017000Medicaid
NH001218303Medicare PIN
VT001218305Medicare PIN
NH30208895Medicaid