Provider Demographics
NPI:1437103165
Name:SUNGA-LORICO, RUTH LAARNI CEDRO (MD)
Entity type:Individual
Prefix:
First Name:RUTH LAARNI
Middle Name:CEDRO
Last Name:SUNGA-LORICO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10697 DUDLEY HTS CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-278-0382
Mailing Address - Fax:703-278-0382
Practice Address - Street 1:7501 LITTLE RIVER TPKE
Practice Address - Street 2:STE 202
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-256-7200
Practice Address - Fax:703-658-0393
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101052669208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006753604Medicaid