STACY LAUREN LEDERMAN NIEDERMAN

FALLS CHURCH, VA
NPI1205234069
Former NameSTACY LAUREN LEDERMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110-004804)
Enumeration Date2014-12-10
Last Update Date2022-03-23
Business Address
Mrs. STACY LAUREN LEDERMAN NIEDERMAN PA-C
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-8682
Mailing Address
Mrs. STACY LAUREN LEDERMAN NIEDERMAN PA-C
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699