Lake Manassas Medical Psychiatry
NPI #1588722425 in Gainesville, Virginia
Provider Information
- NPI Number
- 1588722425
- Entity Type
- Organization
- Organization Name
- Lake Manassas Medical Psychiatry
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7544 GARDNER PARK DR
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155-3414
- Phone
- (703) 772-7400
Authorized Official
- Name
- DR. CRAIG CHARLES KRAUSE, MD
- Title
- SOLE MEMBER
- Phone
- (703) 772-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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