Individual
LAUREN KONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7764 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 339-0180
Mailing address
7764 GUNSTON PLZ, LORTON, VA 22079-1897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211608
VA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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