Individual
LISA ROMEO HANBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8081 INNOVATION PARK DR STE 301, FAIRFAX, VA 22031-4867
(571) 472-6431
Mailing address
8081 INNOVATION PARK DR STE 301, FAIRFAX, VA 22031-4867
(571) 472-6431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024184584
VA
Other
Enumeration date
06/30/2022
Last updated
08/01/2022
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