| Doctor Name: | MRS. LAURA LYNN BURCHAM |
| NPI Number: | 1053312793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMACY TECHNICIAN |
| License Number: | 0230002209 |
| Business Practice Address: | 4601 Ironbound Rd Eastern State Hospital Williamsburg, VA - 231882652 |
| Business Phone Number: | 7572535327 |
| Business Fax Number: | 7572534521 |
| Mailing Address: | 9727 Old Stage Rd, TOANO |
| State: | VA |
| Postal Code: | 23168 |
| Phone Number: | 7575661991 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 03/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 0230002209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |