Luise Isabel Hampl | Fairfax, VA • PECOS Search

Luise Isabel Hampl

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

PECOS Enrollment

Based on the most recent information from CMS, provider Luise Isabel Hampl does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1932549599
Provider Type
Individual
Full Name
Hampl, Luise Isabel
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/27/2013
Last Updated
6/27/2013

Contact Information

Practice Location

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr, Fairfax, VA 22033-1710

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0116026240 Virginia