Healthcare Provider Details

I. General information

NPI: 1568559433
Provider Name (Legal Business Name): LAMI JEFFREY COKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 11/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2871 DUKE STREET
ALEXANDRIA VA
22314
US

IV. Provider business mailing address

6329 WATERWAY DRIVE
FALLS CHURCH VA
22044
US

V. Phone/Fax

Practice location:
  • Phone: 703-751-3031
  • Fax: 703-370-9016
Mailing address:
  • Phone: 703-658-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0101042371
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: