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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497888697 | NPPES |
| Virginia | Other | 1497888697 | NPI |
Popular Providers
-
Mantua, Alison Beth
8503 Arlington Blvd Suite 310, Fairfax VA 22031-4628 -
Tewolde, Tsion
3600 Joseph Siewick Drivefair Oaks Hospitalist Group, Fairfax VA 22033 -
Layton, Danielle Ali
3028 Javier Rd Suite 300, Fairfax VA 22031-4622 -
Leabo, Jessica T.
8081 Innovation Park Dr , Fairfax VA 22031-4867 -
Rabin, Randi L
8613 Route 29 # 200N , Fairfax VA 22031-2171 -
Mabout, Sonia J
2812 Old Lee Hwy # 100B-D , Fairfax VA 22031-4315 -
Naughton, Lauren Felicia
3022 Williams Dr Suite 300, Fairfax VA 22031-4600 -
Matheny, Patrick
3620 Joseph Siewick Dr Ste 100, Fairfax VA 22033-1757