Lori Jean Maciulla in Mclean - Gynecology

Lori Jean Maciulla - NPI 1528079837

Lori Jean Maciulla is a Gynecology in Mclean, Virginia. Lori Jean Maciulla practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Lori Jean Maciulla is 1528079837. The last update date is 2014-07-08.

Lori Jean Maciulla's current location address is 6707 Old Dominion Dr, Mclean, Virginia. You can contact this provider via phone number 7032884330 and fax number 7035560347. The mailing address for Lori Jean Maciulla is 6707 Old Dominion Dr, Mclean, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori Jean Maciulla
Address 6707 Old Dominion Dr, Mclean, Virginia
Phone Number 7032884330
Fax Number 7035560347
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528079837
Provider Enumeration Date 2006-08-11
Last Updated Date 2014-07-08

Provider Mailing Address Detail

Address 6707 Old Dominion Dr
City Mclean
State Virginia (VA)
Post Code 221014504
Phone Number 7032884330
Fax Number 7035560347

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No 1001043172
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
516252 MAMSI
4315636 AETNA
259156 VA ANTHEM BCBS
32070001 DC CAREFIRST BCBS

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FAQs about Lori Jean Maciulla

What is the unique 10-digit identifier code issued to Lori Jean Maciulla by the Centers for Medicare & Medicaid Services?

The Lori Jean Maciulla has been assigned the NPI (National Provider Identifier) 1528079837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Lori Jean Maciulla's facilities are situated?

The facilities of Lori Jean Maciulla are physically located at the following address: 6707 Old Dominion Dr, Mclean, VA, 221014504.

What is Lori Jean Maciulla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lori Jean Maciulla is Gynecology, and the corresponding taxonomy classification code for this specialized field is 207Vg0400X.

When did the Lori Jean Maciulla receive its 1528079837?

The Lori Jean Maciulla was issued its 1528079837 on 2006-08-11, which is the date when the organization was assigned this unique identifier.

As of what date were the Lori Jean Maciulla's details last updated?

The information pertaining to the Lori Jean Maciulla, including its address, specialty, and other details, was most recently updated on 2014-07-08.

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