Individual
LUCIA PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-2746
Mailing address
PO BOX 221322, CHANTILLY, VA 20153-1322
(703) 691-2516
(703) 691-3526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
0101032526
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006627005
—
VA
01
—
1053311357
GROUP NPI
—
Enumeration date
08/03/2005
Last updated
07/18/2018
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