Individual
LOIS NAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3023 HAMAKER CT, SUITE 210A, FAIRFAX, VA 22031-2222
(703) 698-8060
(703) 876-4691
Mailing address
3023 HAMAKER CT, SUITE 210A, FAIRFAX, VA 22031-2222
(703) 698-8060
(703) 876-4691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0024078700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024078700
STATE LICENSE
VA
Enumeration date
11/05/2008
Last updated
02/01/2011
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