Individual
LAURA MARIE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
12103 GREENWAY CT, APT. 101, FAIRFAX, VA 22033-2564
(571) 722-6450
Mailing address
12103 GREENWAY CT, APT. 101, FAIRFAX, VA 22033-2564
(571) 722-6450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001226381
VA
163WL0100X
Lactation Consultant (Registered Nurse)
L-49236
VA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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