Individual
DR. DAVID LANE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10507 OAK PL, FAIRFAX, VA 22030-2813
(571) 732-7743
Mailing address
10507 OAK PL, FAIRFAX, VA 22030-2813
(571) 732-7743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265333
VA
207Q00000X
Family Medicine Physician
4301059911
MI
Other
Enumeration date
03/14/2006
Last updated
09/05/2019
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