Healthcare Provider Details

I. General information

NPI: 1770718835
Provider Name (Legal Business Name): LOLIN KATHRYN HILGARTNER D.C., C.N.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 DRY MILL RD SW SUITE 102
LEESBURG VA
20175-2635
US

IV. Provider business mailing address

102 DRY MILL RD SW SUITE 102
LEESBURG VA
20175-2635
US

V. Phone/Fax

Practice location:
  • Phone: 703-777-8891
  • Fax: 703-777-8892
Mailing address:
  • Phone: 703-777-8891
  • Fax: 703-777-8892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number0104-001679
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: