Organization
CENTER FOR VEIN RESTORATION MD LLC
Active
Organization
CENTER FOR VEIN RESTORATION MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA THOMAS (CREDENTIALING MANAGER)
(815) 254-1761
Entity
Organization
Contact information
Practice address
1104 AMHERST ST STE 102, WINCHESTER, VA 22601-3340
(855) 830-8346
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(240) 965-3261
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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