| Williamsburg Landing Clinic | |
|
5700 Williamsburg Landing Dr Williamsburg VA 23185-3779 | |
| (757) 565-6525 | |
| (757) 565-6551 |
| Full Name | Williamsburg Landing Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5700 Williamsburg Landing Dr, Williamsburg, Virginia |
| Authorized Official Name and Position | Tracy Christie (RESIDENT FINANCE MANAGER) |
| Authorized Official Contact | 7575656516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Landing Clinic 5700 Williamsburg Landing Dr Williamsburg VA 23185-3779 Ph: (757) 565-6516 | Williamsburg Landing Clinic 5700 Williamsburg Landing Dr Williamsburg VA 23185-3779 Ph: (757) 565-6525 |
| NPI Number | 1457096406 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 5890854186 |
|---|---|
| Medicare Enrollment ID | O20220818000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457096406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lakshmi R Chaudhuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659351377 PECOS PAC ID: 4183662653 Enrollment ID: I20050425000674 |
| Provider Name | Jennifer Leigh Armijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285282368 PECOS PAC ID: 0446633192 Enrollment ID: I20220813000628 |
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