Individual
DR. LORENCY FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6048
(703) 218-8500
(703) 359-0469
Mailing address
11204 WAPLES MILL RD, FAIRFAX, VA 22030-6048
(703) 218-8500
(703) 359-0463
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101239771
VA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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