Provider Demographics
NPI:1497101547
Name:MARINAK, LAUREN MICHELE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELE
Last Name:MARINAK
Suffix:
Gender:F
Credentials:NP-C
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:INOVA ADVANCED LUNG DISEASE AND TRANSPLANT PROGRAM
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-2986
Mailing Address - Fax:703-776-3515
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:INOVA ADVANCED LUNG DISEASE AND TRANSPLANT PROGRAM
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-2986
Practice Address - Fax:703-776-3515
Is Sole Proprietor?:No
Enumeration Date:2016-05-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001212688163W00000X
VA0024173531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse