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Individual

LINDSEY MICA O'HEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
Mailing address
269 MEDLOCK LN, ALEXANDRIA, VA 22304-8615
(615) 924-1256

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
184204
TN
367500000X
Certified Registered Nurse Anesthetist
0024177351
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121852292
DRIVER'S LICENSE
TN
Enumeration date
05/22/2018
Last updated
09/12/2025
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