Individual
LINDSAY LIWANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4080 LAFAYETTE CENTER DR, STE. 170, CHANTILLY, VA 20151-1247
(703) 766-5040
Mailing address
4080 LAFAYETTE CENTER DR, STE. 170, CHANTILLY, VA 20151-1247
(703) 766-5040
(703) 766-5047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172889
VA
363LF0000X
Family Nurse Practitioner
0024172889
VA
Other
Enumeration date
09/16/2015
Last updated
01/27/2025
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