Individual
LORELEI LASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9109 GLENBROOK RD, FAIRFAX, VA 22031-3008
(703) 261-9491
(276) 409-6203
Mailing address
9109 GLENBROOK RD, FAIRFAX, VA 22031-3008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305004404
VA
2251P0200X
Pediatric Physical Therapist
Primary
2305004404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
04/17/2007
Last updated
03/05/2024
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