Individual
LESLIANNE GRENDYSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
12825 MINNIEVILLE RD, SUITE 202, LAKE RIDGE, VA 22192-3618
(703) 780-2800
(703) 780-0461
Mailing address
12825 MINNIEVILLE RD, SUITE 202, LAKE RIDGE, VA 22192-3618
(703) 780-2800
(703) 780-0461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168382
VA
Other
Enumeration date
07/22/2009
Last updated
10/23/2013
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