Individual
LAKESHIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
215 FREESIA LN, STAFFORD, VA 22554-2532
(703) 498-7174
Mailing address
215 FREESIA LN, STAFFORD, VA 22554-2532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175266
VA
Other
Enumeration date
09/13/2017
Last updated
04/08/2022
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