MEDICARE: LAMI JEFFREY COKER MD

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	207VX0000X	Obstetrics Physician	0101042371	VA

General Provider Information

NPI Number	:	1568559433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMI JEFFREY COKER MD

Provider Business Mailing Address
First Line	:	6329 WATERWAY DRIVE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044
Country	:	US
Telephone Number	:	703-658-1351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2871 DUKE STREET
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314
Country	:	US
Telephone Number	:	703-751-3031
Fax Number	:	703-370-9016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	11/09/2007

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