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NPI Code Detail

MEDICARE: LAUREN CHONG FNP

MEDICARE:   LAUREN  CHONG  FNP
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
1363LF0000XFamily Nurse PractitionerRN1013344DC
2363LF0000XFamily Nurse Practitioner0024172623VA

General Provider Information

NPI Number : 1265821508
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN CHONG FNP
Provider Business Mailing Address
First Line : 902 GARRISONVILLE RD
Second Line :
City : STAFFORD
State : VA
Zip : 22556-3904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 902 GARRISONVILLE RD
Second Line :
City : STAFFORD
State : VA
Zip : 22556-3904
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2015
Last Update Date : 01/18/2023

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Directions to “ LAUREN CHONG FNP” Practice Location

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