Organization Name: | LORD FAIRFAX HEALTH DISTRICT |
NPI Number: | 1952367781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIBBY ZAN RUBY (NURSE-PRACTITIONER, NURSE-MIDWIFE) |
Mailing Address: | 150 W Commercial St Winchester |
State: | VA US |
Postal Code: | 226014828 |
Phone Number: | 5407223470 |
Fax Number: | 5407223475 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 0024070577 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |