Individual
DR. LEWIS REUVEN PASTERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 MAYHURST BLVD, MC LEAN, VA 22102-2235
(703) 774-6147
(888) 774-6147
Mailing address
1400 MAYHURST BLVD, MC LEAN, VA 22102-2235
(703) 774-6147
(888) 774-6147
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
0101247047
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101247047
MEDICAL LICENSE
VA
01
—
D26887
MEDICAL LICENSE
MD
Enumeration date
04/15/2012
Last updated
04/15/2012
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