Individual
LACEY ROMAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8713 DIGGES RD, MANASSAS, VA 20110-4403
(703) 330-9222
Mailing address
4600 LAMBERT PL, ALEXANDRIA, VA 22311-4959
(575) 302-6340
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024180523
VA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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