Healthcare Provider Details

I. General information

NPI: 1659608644
Provider Name (Legal Business Name): LORI ANNE WARD NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19349 DIAMOND LAKE DR
LEESBURG VA
20176-6596
US

IV. Provider business mailing address

38141 WINSOME TRAIL LN
PURCELLVILLE VA
20132-2965
US

V. Phone/Fax

Practice location:
  • Phone: 703-635-6996
  • Fax:
Mailing address:
  • Phone: 703-635-6996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1006540
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001191613
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: