Provider Demographics
NPI:1487040275
Name:DOLLANI, LORENA (MD)
Entity Type:Individual
Prefix:DR
First Name:LORENA
Middle Name:
Last Name:DOLLANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 WHITTIER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4540
Mailing Address - Country:US
Mailing Address - Phone:703-495-2630
Mailing Address - Fax:833-550-1728
Practice Address - Street 1:6711 WHITTIER AVE STE 101
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4540
Practice Address - Country:US
Practice Address - Phone:703-495-2630
Practice Address - Fax:833-550-1728
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101269200207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology