Banford, Lucrisha M

Banford, Lucrisha M is an individual health care provider with primary practice located at 3700 Joseph Siewick Dr Suite 403, Fairfax VA 22033-1744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Banford, Lucrisha M can be contacted via phone (703) 648-2488.

Contact Information

Primary practice address
3700 Joseph Siewick Dr Suite 403 Fairfax VA 22033-1744
Phone: (703) 648-2488
Fax: (703) 648-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002011 Virginia

Profile Details

NPI number 1497888697
LBN Legal business name Banford, Lucrisha M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated May 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497888697 NPPES
Virginia Other 1497888697 NPI

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