Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101222259 | VA |
NPI | 1053491704 |
---|---|
Provider Name | Dr. Elisabeth Ann Fox |
First Address | Leesburg, VA 20176 |
Second Address | Leesburg, VA 20176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 04/04/2013 |