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Individual

LUCY HOLDEN CUSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3908
Mailing address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3908

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-157616
VA

Other

Enumeration date
10/11/2020
Last updated
10/11/2020
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