Healthcare Provider Details

I. General information

NPI: 1083572085
Provider Name (Legal Business Name): DR L.I.W. HEALTH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503D N HARRISON ST
ARLINGTON VA
22207-1640
US

IV. Provider business mailing address

2503D N HARRISON ST
ARLINGTON VA
22207-1640
US

V. Phone/Fax

Practice location:
  • Phone: 972-838-7566
  • Fax:
Mailing address:
  • Phone: 972-838-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN IRENE WHITE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 972-838-7566