Individual
LENA MARGARETA MIKULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4229 LAFAYETTE CENTER DR, SUITE 1000, CHANTILLY, VA 20151-1261
(703) 352-3344
(703) 796-1918
Mailing address
4229 LAFAYETTE CENTER DR, SUITE 1000, CHANTILLY, VA 20151-1261
(703) 352-3344
(703) 796-1918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167634
VA
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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