Individual
MRS. LORRAINE ANN WEST HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CMT, CIMI (R), C
Contact information
Practice address
5417C BACKLICK ROAD, SPRINGFIELD, VA 22151-3915
(703) 909-0299
(703) 451-9043
Mailing address
6657 OLD BLACKSMITH DRIVE, BURKE, VA 22015-4139
(703) 909-0299
(703) 451-9043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN#0001068875
VA
174400000X
Specialist
#0001900232
VA
174400000X
Specialist
#000538
WA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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