Individual
DR. LAUREN GEVANA OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 ARLINGTON BLVD STE 510, FALLS CHURCH, VA 22042-2325
(571) 425-4100
(571) 425-4300
Mailing address
6400 ARLINGTON BLVD STE 510, FALLS CHURCH, VA 22042-2325
(571) 425-4100
(571) 254-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D90375
MD
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
0101257441
VA
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
MD048786
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675480
ANTHEM IN - FWO
IN
01
—
000000675487
ANTHEM IN - BMA
IN
01
—
000000873394
BCBS
IN
01
—
01064686A
PHYSICIAN LICENSE
IN
05
—
200898630
—
IN
05
—
200898630 FWO
—
IN
Enumeration date
09/23/2007
Last updated
12/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us