Individual
LAUREN SUSZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060
(571) 231-4568
Mailing address
9005 EDGEPARK RD, VIENNA, VA 22182-1704
(937) 489-6463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.325301
OH
367500000X
Certified Registered Nurse Anesthetist
0024175861
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.15569-NA
OH
Other
Enumeration date
01/14/2014
Last updated
02/09/2023
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