Provider Demographics
NPI:1538358148
Name:DABBAR, LENA A (CPNP-PC)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:A
Last Name:DABBAR
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:D
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:6120 BRANDON AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2522
Mailing Address - Country:US
Mailing Address - Phone:703-451-3333
Mailing Address - Fax:703-451-7219
Practice Address - Street 1:1483 OLD BRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2738
Practice Address - Country:US
Practice Address - Phone:703-491-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001145660363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0017137697OtherAUTHORIZATION TO PRESCRIB
VA0001145660OtherLICENSE TO PRACTICE