Organization
LAKE MANASSAS MEDICAL PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG CHARLES KRAUSE MD (SOLE MEMBER)
(703) 772-7400
Entity
Organization
Contact information
Practice address
7544 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 772-7400
(703) 940-9179
Mailing address
7544 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(703) 772-7400
(703) 940-9179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101233772
VA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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