Mrs. Jennifer Anne Lausten III
Sports Medicine Doctor
22 Fairfax St Se
Leesburg
, Virginia 20175-3616
Mrs. Jennifer Anne Lausten III
Sports Medicine Doctor
22 Fairfax St Se
Leesburg
, Virginia 20175-3616
(703) 723-1063
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Anne Lausten III
- 20817 Mintwood Ct
- Ashburn, VA
- Zip : 20147-4003
- Phone : (703) 723-1063
Second Address
- Mrs. Jennifer Anne Lausten III
- 22 Fairfax St Se
- Leesburg, VA
- Zip : 20175-3616
- Fax : (703) 669-6101
- Phone : (703) 669-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 2305004038 | VA |
National Provider Identifier
| NPI | 1235123282 |
|---|---|
| Provider Name | Mrs. Jennifer Anne Lausten III |
| First Address | Ashburn, VA 20147-4003 |
| Second Address | Leesburg, VA 20175-3616 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.