Individual
LINDSAY E ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 110, LEESBURG, VA 20176-6821
(703) 723-7337
(703) 723-8278
Mailing address
224D CORNWALL STREET NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102206599
VA
208D00000X
General Practice Physician
0102206599
VA
208D00000X
General Practice Physician
881
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659695526
—
VA
05
—
30016583650001
—
VA
Enumeration date
03/22/2010
Last updated
10/12/2023
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