MEDICARE: DR L.I.W. HEALTH SERVICES, PLLC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1083572085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR L.I.W. HEALTH SERVICES, PLLC

Provider Business Mailing Address
First Line	:	2503D N HARRISON ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1640
Country	:	US
Telephone Number	:	972-838-7566
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503D N HARRISON ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-1640
Country	:	US
Telephone Number	:	972-838-7566
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. LAUREN IRENE WHITE
Credential	:	MD
Telephone Number	:	972-838-7566

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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