Provider Demographics
NPI:1285236794
Name:LARCOMB, LORA (MA, RESIDENT-MFT)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:
Last Name:LARCOMB
Suffix:
Gender:F
Credentials:MA, RESIDENT-MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7204 SUNRISE CT
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-3582
Mailing Address - Country:US
Mailing Address - Phone:440-263-1025
Mailing Address - Fax:
Practice Address - Street 1:170 W SHIRLEY AVE STE 206
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3083
Practice Address - Country:US
Practice Address - Phone:540-349-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist