Individual
KORI LAPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11213 LEE HWY, FAIRFAX, VA 22030-5698
(703) 832-8023
Mailing address
202 MCHENRY ST SE, VIENNA, VA 22180-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173031
VA
Other
Enumeration date
10/31/2015
Last updated
11/27/2023
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