Individual
LAURA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-1907
(703) 391-0900
Mailing address
2320 MEADOW WILLOW CIR, HERNDON, VA 20171-4864
(540) 998-8225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024177024
VA
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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