Individual
ELDESIA LABREN GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7918 JONES BRANCH DR FL 4, MC LEAN, VA 22102-3319
(703) 424-9024
Mailing address
2800 EISENHOWER AVE STE 220, ALEXANDRIA, VA 22314-4587
(703) 424-9024
(703) 214-2955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101256984
VA
208000000X
Pediatrics Physician
0101256984
VA
2083P0901X
Public Health & General Preventive Medicine Physician
0101256984
VA
282N00000X
General Acute Care Hospital
D0075137
MD
Other
Enumeration date
06/18/2008
Last updated
01/20/2026
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