Organization
MISSION FUNCTIONAL MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN C LAWSON (OFFICE MANAGER)
(540) 247-8476
Entity
Organization
Contact information
Practice address
230 COSTELLO DR STE 210, WINCHESTER, VA 22602-4310
(540) 247-8476
(540) 869-3524
Mailing address
103 CHANCELLORSVILLE DR, STEPHENS CITY, VA 22655-4515
(540) 247-8476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202773
VA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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