Organization
LIFELONG WELLNESS & GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GEVANA OUTLAW MD (OWNER)
(504) 905-8669
Entity
Organization
Contact information
Practice address
6400 ARLINGTON BLVD STE 510, FALLS CHURCH, VA 22042-2325
(703) 375-9525
Mailing address
3246 KENNEY DR, FALLS CHURCH, VA 22042-3629
(703) 375-9525
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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