Individual
LAUREN RECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(712) 312-5445
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-2544
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18560
HI
208D00000X
General Practice Physician
18560
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VAD000
—
HI
Enumeration date
06/05/2014
Last updated
09/17/2025
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