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Search › Virginia › 2255A2300X

Lacey Dungan, ATC

NPI 1235596420 · on the registry since 2016

Practice

Address
10523 Main St
Fairfax, VA 22030
Phone
(703) 380-8141
Organisation at this address
Eastern Cranial Affiliates, Llc
Eastern Cranial Affiliates, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia