Individual
LENA A DABBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1483 OLD BRIDGE RD STE 201, WOODBRIDGE, VA 22192-2738
(703) 491-2141
Mailing address
6120 BRANDON AVE, SUITE 308, SPRINGFIELD, VA 22150-2522
(703) 451-3333
(703) 451-7219
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0001145660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001145660
LICENSE TO PRACTICE
VA
01
—
0017137697
AUTHORIZATION TO PRESCRIB
VA
Enumeration date
10/19/2007
Last updated
09/30/2024
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