Individual
LARA MARI STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
Mailing address
3747 1/2 KANAWHA ST NW, WASHINGTON, DC 20015-1885
(757) 642-5999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179518
VA
Other
Enumeration date
05/01/2020
Last updated
11/20/2023
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