DR. Laina Jo Bourassa, M.D.

NPI #1598851230 in Chester, Virginia

Provider Information

NPI Number: 1598851230
Entity Type: Individual
Name: DR. Laina Jo Bourassa, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jan 10, 2014

Practice Location

Address: 4707 BUCKINGHAM CT
City: Chester
State: Virginia
ZIP Code: 23831-4261
Phone: (804) 748-9090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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