Individual
DR. LINA MOJARRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
44050 ASHBURN VILLAGE BLVD, STE 163, ASHBURN, VA 20147
(703) 726-0005
(703) 723-7073
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002919
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679131163
—
VA
Enumeration date
05/30/2019
Last updated
01/12/2022
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