Individual
LYNN GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11213 ROUTE 29 STE H, FAIRFAX, VA 22030-5698
(703) 832-8023
(703) 776-9499
Mailing address
11213 ROUTE 29 STE H, FAIRFAX, VA 22030-5698
(703) 832-8023
(703) 776-9499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164906
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588615710
NPI
VA
05
—
8935823
—
VA
Enumeration date
05/12/2006
Last updated
09/02/2025
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