| Doctor Name: | DR. LAURA KONIVER |
| NPI Number: | 1013305259 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD28306 |
| Business Practice Address: | 5501 Merchants View Sq Suite 700 Haymarket, VA - 201695439 |
| Business Phone Number: | 5712840219 |
| Business Fax Number: | |
| Mailing Address: | 5501 Merchants View Sq, Suite 700 HAYMARKET |
| State: | VA |
| Postal Code: | 201695439 |
| Phone Number: | 5712840219 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD28306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |