Individual
LISA MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(540) 846-2179
Mailing address
PO BOX 1317, FREDERICKSBURG, VA 22402-1317
(540) 846-2179
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/28/2015
Last updated
04/03/2015
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