Individual
MS. DIANE LANE CHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1860 TOWN CENTER DR STE 255, RESTON, VA 20190-5906
(703) 707-0607
(703) 707-0949
Mailing address
1447 WOODHURST BLVD, MC LEAN, VA 22102-2234
(703) 582-4104
(703) 707-0949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180137
VA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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