Provider Demographics
NPI:1649602426
Name:BRITT, LAUREN LEE (DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LEE
Last Name:BRITT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 ORONOCO ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2206
Mailing Address - Country:US
Mailing Address - Phone:520-954-0081
Mailing Address - Fax:
Practice Address - Street 1:6035 BURKE CENTRE PKWY
Practice Address - Street 2:STE 300
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3750
Practice Address - Country:US
Practice Address - Phone:703-978-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208083174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist