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Miss Lucrisha M Banford, PA
Medical Physician Assistant in Fairfax, Virginia
NPI 1497888697

Lucrisha M Banford is a Medical Physician Assistant based in Fairfax, VA and is specialized in Medical. Lucrisha M Banford practices in Fairfax, VA and has the professional credentials of PA. The NPI Number for Lucrisha M Banford is 1497888697 and holds a License No. 0110002011 (Virginia).

The current practice location address for Lucrisha M Banford is 3700 Joseph Siewick Dr, Fairfax, VA and can be reached out via phone at 703-648-2488 and via fax at 703-648-2489. You can also correspond with Lucrisha M Banford through the mailing address at 3700 JOSEPH SIEWICK DR, FAIRFAX, VA - 22033-1744 (mailing address contact number: 703-648-2488).

Location: 3700 Joseph Siewick Dr, Fairfax, VA, 22033-1744
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Provider Profile Details
NPI Number
1497888697
Provider Name
Lucrisha M Banford
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3700 Joseph Siewick Dr, Fairfax, VA, 22033-1744
Phone Number
703-648-2488
Fax Number
703-648-2489
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497888697 01 VA NPI
institution
Provider Business Practice Location Address Details
Address
3700 Joseph Siewick Dr
City
State
Zip
22033-1744
Phone Number
703-648-2488
Fax Number
703-648-2489
person
Provider Business Mailing Address Details
Address
3700 Joseph Siewick Dr
City
State
Zip
22033-1744
Phone Number
703-648-2488
Fax Number
703-648-2489
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110002011 (Virginia)
Definition
Definition to come...
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