Individual
MRS. LILLIAN MARLENE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1314 VINCENT PL, MCLEAN, VA 22101
(703) 821-1018
(703) 848-1755
Mailing address
6458 MADISON CT, MCLEAN, VA 22101-4137
(703) 821-1018
(703) 848-1755
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
VA0101027850
VA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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