Individual
DR. LAUREN B CIANCIARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
711C E MAIN ST, PURCELLVILLE, VA 20132-3178
(540) 338-7116
(540) 338-6671
Mailing address
711C E MAIN ST, PURCELLVILLE, VA 20132-3178
(540) 338-7116
(540) 338-6671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201343
VA
207Q00000X
Family Medicine Physician
2104
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001763
—
WV
Enumeration date
03/22/2006
Last updated
11/27/2023
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