Individual
LAUREN MARIE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15400 WC COMMONS WAY, MIDLOTHIAN, VA 23113-7320
(804) 549-5405
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001256591
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178026
VA
Other
Enumeration date
07/04/2019
Last updated
11/15/2023
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