Individual
MRS. LAUREN MICHELLE GODBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8081 INNOVATION PARK DR STE 765, FAIRFAX, VA 22031-4867
(571) 472-1717
(571) 472-1718
Mailing address
814 N EDGEWOOD ST APT 1A, ARLINGTON, VA 22201-1971
(540) 793-2954
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024176584
VA
Other
Enumeration date
08/23/2018
Last updated
08/18/2021
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