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Individual

DR. LAWRENCE E. SUTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
12890 HARBOR DR, WOODBRIDGE, VA 22192-2921
(703) 490-3497
(703) 491-7662
Mailing address
12481 CRICKET LN, WOODBRIDGE, VA 22192-5236
(703) 494-8343
(703) 491-7662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001956
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005405840
VA
01
025436
VALUE OPTIONS
VA
01
085981
ANTHEM
VA
01
70058000
MAGELLAN
VA
01
B619
CARE FIRST
VA
Enumeration date
01/28/2007
Last updated
07/08/2007
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