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Individual

MS. LAUREN NICOLE DOUGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
107 N VIRGINIA AVE STE B1, FALLS CHURCH, VA 22046-3357
(703) 532-4446
Mailing address
3003 NICOSH CIR UNIT 3205, FALLS CHURCH, VA 22042-1243
(919) 360-4624

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186521
VA

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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