Individual
LARS FARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W ANNANDALE RD, FALLS CHURCH, VA 22046-4205
(703) 521-6662
Mailing address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(516) 491-6231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007197
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
09/11/2023
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