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NPI Code Detail

MEDICARE: LIANA MARIE WAYBRIGHT LCSW, MS, RD

MEDICARE: LIANA MARIE WAYBRIGHT LCSW, MS, RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1004XPediatric Nutrition Registered DietitianLDN00908RI
21041C0700XClinical Social Worker0904020037VA

General Provider Information

NPI Number : 1003390428
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANA MARIE WAYBRIGHT LCSW, MS, RD
Provider Business Mailing Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number : 844-744-0273
Provider Business Practice Location Address
First Line : 2550 PROFESSIONAL RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3214
Country : US
Telephone Number : 804-592-6311
Fax Number : 844-744-0273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2018
Last Update Date : 03/03/2026

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