NPI 1013402593
Mednovations LLC
Practice location
- Address
- 1712 Financial Loop, Woodbridge, VA 22192-2459
- Phone
- (571) 989-4134
- Mailing address
- 13010 Smoketown Rd, Woodbridge, VA 22192-3367
Authorised official
- Name
- Chantal D Lewis
- Title
- Owner
- Phone
- (301) 254-9444
Registered specialties
Primary Care Clinic/Center
Primary
Registry record
- NPI
- 1013402593
- Entity type
- Organization
- NPI issued
- 26 Jun 2018
- Record last updated
- 26 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.