Individual
LORRAINE CAPPELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3031 JAVIER RD, SUITE 100, FAIRFAX, VA 22031-4637
(703) 208-1002
(703) 208-1127
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(540) 687-8181
(540) 687-8256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305001448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175382
ANTHEM
VA
01
—
3795591
AETNA-HMO
VA
01
—
4123410
MAMSI
VA
01
—
7975531
AETNA
VA
01
—
K342-0012
CAREFIRST
VA
Enumeration date
12/15/2005
Last updated
11/02/2007
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