Provider Demographics
NPI:1184936536
Name:LEBARON, ERIKA LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LYNN
Last Name:LEBARON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6829 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3884
Mailing Address - Country:US
Mailing Address - Phone:703-532-4892
Mailing Address - Fax:703-237-3105
Practice Address - Street 1:6829 ELM ST STE 300
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3845
Practice Address - Country:US
Practice Address - Phone:703-753-1947
Practice Address - Fax:703-237-3105
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.004303207Q00000X
VA0102203593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine