Individual
LAUREL H. LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7500 IRON BAR LN, SUITE 215, GAINESVILLE, VA 20155-3603
(571) 261-1234
(571) 261-2235
Mailing address
7500 IRON BAR LN, SUITE 215, GAINESVILLE, VA 20155-3603
(571) 261-1234
(571) 261-2235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002978
VA
363A00000X
Physician Assistant
011914-1
NY
363A00000X
Physician Assistant
PA030409
DC
Other
Enumeration date
08/22/2006
Last updated
07/30/2009
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