Individual
MRS. MEAGAN PA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
13001 SUMMIT SCHOOL RD, WOODBRIDGE, VA 22192-2903
(757) 268-4597
Mailing address
3693 RUSSELL RD, WOODBRIDGE, VA 22192-4909
(757) 268-4597
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001268216
VA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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