Individual
MS. LISA PRALLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18225 LINTON CT, DUMFRIES, VA 22026-2458
(703) 221-2753
Mailing address
18225 LINTON CT, DUMFRIES, VA 22026-2458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001104973
VA
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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