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1205234069
STACY LAUREN LEDERMAN NIEDERMAN
FALLS CHURCH, VA
NPI
1205234069
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Former Name
STACY LAUREN LEDERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-004804)
Enumeration Date
2014-12-10
Last Update Date
2022-03-23
Business Address
Mrs. STACY LAUREN LEDERMAN NIEDERMAN PA-C
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-8682
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Mailing Address
Mrs. STACY LAUREN LEDERMAN NIEDERMAN PA-C
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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