Dorothy Lorraine Shackleford
NPI #1003888447 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1003888447
- Entity Type
- Individual
- Name
- Dorothy Lorraine Shackleford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Apr 23, 2015
Practice Location
- Address
- 3963 HARTLAKE ST
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-7477
- Phone
- (703) 590-2019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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