Individual
DR. LILLIAN GAVRILOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1009 UNION CHURCH RD, MC LEAN, VA 22102-1114
(703) 759-3609
Mailing address
1009 UNION CHURCH RD, MC LEAN, VA 22102-1114
(703) 759-3609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024334
VA
Other
Enumeration date
03/31/2013
Last updated
03/31/2013
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