Provider Demographics
NPI:1407517303
Name:LAMAS, ELISABETH REED (PA)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:REED
Last Name:LAMAS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4508 MULLEN LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3811
Mailing Address - Country:US
Mailing Address - Phone:703-447-5617
Mailing Address - Fax:
Practice Address - Street 1:4508 MULLEN LN
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3811
Practice Address - Country:US
Practice Address - Phone:703-447-5617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant