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Organization
THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC
Active
Organization
THE PHYSICIAN & MIDWIFE COLLABORATIVE PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIANN LAZZARO CNM (CERTIFIED NURSE MIDWIFE)
(716) 912-2945
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-0044
Mailing address
4660 KENMORE AVE, ALEXANDRIA, VA 22304-1313
(703) 370-4300
(703) 370-0044
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024169729
VA
Other
Enumeration date
12/01/2008
Last updated
01/25/2012
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