Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024176084 | VA |
NPI | 1083186381 |
---|---|
Provider Name | Mrs. Megan Lowers Scanlan |
First Address | Leesburg, VA 20175-3749 |
Second Address | Leesburg, VA 20176-3690 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2018 |
Last Update Date | 26/12/2018 |