Healthcare Provider Details

I. General information

NPI: 1861648826
Provider Name (Legal Business Name): LINDSEY ELIZABETH DAGGLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD
FALLS CHURCH VA
22042
US

IV. Provider business mailing address

6823 JACKSON AVE
FALLS CHURCH VA
22042-1909
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-4000
  • Fax:
Mailing address:
  • Phone: 703-579-7644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101249928
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101249928
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125054798
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: