Individual
MRS. KRISTIN LEIGH LUPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
277 S WASHINGTON ST STE 100, ALEXANDRIA, VA 22314-3678
(571) 350-8400
(571) 366-5793
Mailing address
3040 WILLIAMS DR STE 100, FAIRFAX, VA 22031-4618
(571) 350-8400
(571) 366-5793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001685
VA
363AS0400X
Surgical Physician Assistant
Primary
0110001685
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930544 00
—
FL
Enumeration date
10/03/2006
Last updated
11/10/2025
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