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Organization

MARINA SHORES OB/GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANI MARIE WARREN MD (OB/GYN PHYSICIAN)
(757) 496-5000
Entity
Organization

Contact information

Practice address
2865 LYNNHAVEN DR, SUITE 4A, VIRGINIA BEACH, VA 23451-1542
(757) 496-5000
Mailing address
2865 LYNNHAVEN DR, SUITE 4A, VIRGINIA BEACH, VA 23451-1542
(757) 496-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101256943
VA
363L00000X
Nurse Practitioner
0101256943
VA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0101256943
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417492034
GROUP- NPI
VA
Enumeration date
01/05/2017
Last updated
03/24/2017
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