Individual
LAUREN CULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3620 JOSEPH SIEWICK DR STE 201, FAIRFAX, VA 22033-1758
(703) 391-0111
Mailing address
3620 JOSEPH SIEWICK DR STE 201, FAIRFAX, VA 22033-1758
(703) 391-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005260
VA
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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