Allergy Asthma & Immunology Institute

NPI #1891116059 in Lansdowne, Virginia

Provider Information

NPI Number: 1891116059
Entity Type: Organization
Organization Name: Allergy Asthma & Immunology Institute
Primary Specialty: Allergy & Immunology
Enumeration Date: Dec 13, 2013
Last Updated: Apr 14, 2016

Practice Location

Address: 19455 DEERFIELD AVE
Address 2: SUITE 205
City: Lansdowne
State: Virginia
ZIP Code: 20176-8100
Phone: (571) 399-5132

Authorized Official

Name: DR. LAURA ISPAS-PONAS, M.D.
Title: CEO/PRESIDENT
Phone: (571) 399-5132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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