Individual
LENA WASIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 CHAIN BRIDGE RD, MC LEAN, VA 22101-3935
(703) 261-9585
Mailing address
1747 TYSONS CENTRAL ST APT 2905, VIENNA, VA 22182-6062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009808
VA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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