Laina Jo Bourassa, M.D.
Pediatrics Physician · Chester, VA
Practice location
4707 Buckingham CtChester, VA 23831-4261
- Phone
- (804) 748-9090
NPI record
- NPI
- 1598851230
- Entity type
- Individual (Type 1)
- Enumeration date
- October 4, 2006
- Last updated
- January 10, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
0101245888 | VA |
| Pediatrics Physician | 208000000X |
57.012207 | OH |
About Dr. Bourassa
Laina Jo Bourassa, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4707 Buckingham Ct, Chester, VA 23831-4261. The NPI number 1598851230 was assigned on October 4, 2006 and the record was last updated on January 10, 2014.
Dr. Bourassa lists 2 licenses in the registry: #0101245888 (VA) for Pediatrics Physician; #57.012207 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Laina Jo Bourassa, M.D.?
The NPI number is 1598851230.
What is the phone number of Dr. Bourassa?
The phone number listed for the practice location is (804) 748-9090.
Where is Dr. Bourassa located?
4707 Buckingham Ct, Chester, VA 23831-4261.
What is the taxonomy code for Dr. Bourassa?
The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Chester
- Margaret Chi, DO4707 Buckingham Ct
- Pediatric Assoc of Petersburg13213 Rivers Bend Blvd
- Tariq Mohammed Sheikh, MD1716 E Hundred Rd Ste 101