Waller, Laura Lynne

Waller, Laura Lynne is an sole proprietor health care provider with primary practice located at 9403 Elk Dr , Springfield VA 22153-1308. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Waller, Laura Lynne can be contacted via phone (478) 318-3273.

Contact Information

Primary practice address
9403 Elk Dr Springfield VA 22153-1308
Phone: (478) 318-3273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1598344459
LBN Legal business name Waller, Laura Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2021
Last updated Dec 2nd, 2022 - about 3 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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