Individual
LAVONNE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 ARLINGTON BLVD STE 210, FALLS CHURCH, VA 22042-2349
(703) 531-3000
(703) 531-3142
Mailing address
3108 SHARPIE CT, VA BEACH, VA 23456-3454
(757) 322-0608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101258295
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101258295
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710272323
—
VA
05
—
INTERN
—
LA
Enumeration date
06/10/2011
Last updated
01/10/2022
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