Individual ProviderLemuel S AbrenicaNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 295-9360PECOS EnrollmentBased on the most recent information from CMS, provider Lemuel S Abrenica does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962424002Provider TypeIndividualFull NameAbrenica, Lemuel STitleMr.CredentialCRNAGenderMaleSole ProprietorNoEnumeration Date7/25/2006Last Updated3/3/2008Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 295-9360Fax(703) 295-9369Mailing LocationMailing AddressPO Box 37090, Baltimore, MD 21297-3090Phone(703) 295-9360Fax(703) 295-9369Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024105600VirginiaProvider IdentifiersIDDescriptionIssuerID1962424002DescriptionMedicaidIssuerUnlistedVirginiaIDK142-0002DescriptionOtherIssuerCAREFIRSTDistrict of ColumbiaID139180DescriptionOtherIssuerANTHEMVirginia