Healthcare Provider Details

I. General information

NPI: 1063674539
Provider Name (Legal Business Name): LAUREN CHAKARIAN TURZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN TURZA GREER MD

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3580 JOSEPH SIEWICK DR STE 101
FAIRFAX VA
22033-1764
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 703-207-4320
  • Fax: 703-391-4159
Mailing address:
  • Phone: 571-423-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number01012465570
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101246557
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: