Individual
MRS. LY-LAN SCHOFIELD BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6715 LITTLE RIVER TPKE, 201, ANNANDALE, VA 22003-3546
(703) 914-3640
Mailing address
8220 BUCKNELL DR, VIENNA, VA 22180-6931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001264
VA
Other
Enumeration date
07/30/2006
Last updated
02/29/2008
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