Individual
MRS. LAUREN BROOKS LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8640 SUDLEY RD STE 203, MANASSAS, VA 20110-4404
(703) 368-3161
Mailing address
5821 CRANSWICK CT, HAYMARKET, VA 20169-8107
(703) 447-6392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024194508
VA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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