Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Provenzano, PA-C

Individual provider Physician Assistant · NPI 1396080800

Laura Provenzano, PA-C is a Physician Assistant in Alexandria, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3117 Duke St
Alexandria, VA 22314-4518
Phone: (703) 751-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004424 (VA)

Record details

NPI number1396080800
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 10, 2012
Last updated in NPPESDecember 12, 2017

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