Individual provider · Type 1 NPI

Lucrisha M. Banford, PA

Medical Physician Assistant · Fairfax, VA

NPI number 1497888697 Active

Practice location

3700 Joseph Siewick Dr, Suite 403
Fairfax, VA 22033-1744

Fax (703) 648-2489

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110002011 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1497888697

Lucrisha M. Banford, PA's National Provider Identifier is 1497888697, issued on Mar 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfax, VA. The record was last updated on May 20, 2011.