Dr Lola Juanita Capps, DC | |
3140 Commonwealth Ave, Alexandria, VA 22305-2712 | |
(703) 535-7881 | |
(703) 535-7882 |
Full Name | Dr Lola Juanita Capps |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 3140 Commonwealth Ave, Alexandria, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598843880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556192 (Virginia) | Primary |
Provider Name | Chrysalis Chiropractic Of Alexandria Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649359670 PECOS PAC ID: 4284654898 Enrollment ID: O20051128000807 |
Mailing Address | Practice Location Address |
---|---|
Dr Lola Juanita Capps, DC 3140 Commonwealth Ave, Alexandria, VA 22305-2712 Ph: (703) 535-7881 | Dr Lola Juanita Capps, DC 3140 Commonwealth Ave, Alexandria, VA 22305-2712 Ph: (703) 535-7881 |
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