Individual
LORI HAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14121 PARKE LONG CT STE 201, CHANTILLY, VA 20151-1647
(419) 467-7831
Mailing address
14121 PARKE LONG CT STE 201, CHANTILLY, VA 20151-1647
(419) 467-7831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021928
OH
Other
Enumeration date
10/19/2017
Last updated
10/23/2017
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