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Individual

LAUREN LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 N SHENANDOAH AVE STE 202, FRONT ROYAL, VA 22630-3555
(703) 828-7516
Mailing address
224 CORNWALL ST NW, LEESBURG, VA 20176-2701

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
0001270356
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024194012
VA

Other

Enumeration date
05/22/2024
Last updated
09/25/2025
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