Individual
LAUREN ELIZABETH RUSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LIGHTHOUSE LN, WINCHESTER, VA 22602-6191
(512) 619-0014
Mailing address
440 L ST NW UNIT 202, WASHINGTON, DC 20001-2569
(512) 619-0014
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
PA031736
DC
Other
Enumeration date
01/12/2019
Last updated
06/18/2020
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