Individual
DR. LINCOLN ESGUERRA CARILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7601 LITTLE RIVER TPKE, #100, ANNANDALE, VA 22003-2601
(703) 642-1004
(703) 642-3232
Mailing address
1552 SUNSTONE DR, MC LEAN, VA 22102-3932
(714) 616-4757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
23418
CA
111NI0900X
Internist Chiropractor
Primary
0104556819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232549ZBSM
MEDICARE PTAN
VA
Enumeration date
03/23/2007
Last updated
06/05/2012
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