Individual
LISANDRO FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 COMMANDER CV, STAFFORD, VA 22554-2401
(571) 516-0132
Mailing address
205 COMMANDER CV, STAFFORD, VA 22554
(571) 516-0132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003838
NY
Other
Enumeration date
02/01/2017
Last updated
05/19/2025
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