Individual
LARRY WASHINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9295
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101048722
VA
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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