Individual
LAUREN ELIZABETH ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5893 ANTHONY DR, WOODBRIDGE, VA 22193-3619
(703) 730-0302
(703) 730-0300
Mailing address
5893 ANTHONY DR, WOODBRIDGE, VA 22193-3619
(703) 730-0302
(703) 730-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001284644
VA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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