LAUREL DIANE KORTUM

FAIRFAX, VA
NPI1295773729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: VA  0101240278)
Additional Taxonomies207L00000X Anesthesiology
(Licence: NE  TEP4621)
Enumeration Date2006-06-04
Last Update Date2015-03-05
Business Address
Dr. LAUREL DIANE KORTUM M.D.
3620 JOSEPH SIEWICK DR STE 202
FAIRFAX, VA 22033-1756
Phone number: 703-922-9501
Mailing Address
Dr. LAUREL DIANE KORTUM M.D.
3998 FAIR RIDGE DR STE 300
FAIRFAX, VA 22033-2921
Phone number: 703-766-9737