Lucrisha M Banford is a Medical in Fairfax, Virginia. Lucrisha M Banford practices all healthcare services and medical treatments related to Medical. The NPI Number for Lucrisha M Banford is 1497888697. The last update date is 2011-05-20.
Lucrisha M Banford's current location address is 3700 Joseph Siewick Dr, Fairfax, Virginia. You can contact this provider via phone number 7036482488 and fax number 7036482489. The mailing address for Lucrisha M Banford is 3700 Joseph Siewick Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucrisha M Banford |
|---|---|
| Address | 3700 Joseph Siewick Dr, Fairfax, Virginia |
| Phone Number | 7036482488 |
| Fax Number | 7036482489 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1497888697 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 3700 Joseph Siewick Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220331744 |
| Phone Number | 7036482488 |
| Fax Number | 7036482489 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 110002011 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497888697 | VA | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lucrisha M Banford by the Centers for Medicare & Medicaid Services?
The Lucrisha M Banford has been issued the NPI (National Provider Identifier) 1497888697, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lucrisha M Banford is geographically located?
The Lucrisha M Banford is physically situated at the following location: 3700 Joseph Siewick Dr, Fairfax, VA, 220331744.
What is Lucrisha M Banford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lucrisha M Banford's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did Lucrisha M Banford receive its 1497888697 assignment from the Centers for Medicare & Medicaid Services?
The Lucrisha M Banford was assigned its 1497888697 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lucrisha M Banford most recently updated or revised?
The information pertaining to Lucrisha M Banford, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-20.
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