Provider Demographics
NPI:1962571646
Name:LINCE, ANA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:
Last Name:LINCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6340 WILLOWFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1039
Mailing Address - Country:US
Mailing Address - Phone:703-746-3444
Mailing Address - Fax:703-746-3464
Practice Address - Street 1:4850 MARK CENTER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1882
Practice Address - Country:US
Practice Address - Phone:703-746-3444
Practice Address - Fax:703-746-3464
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010535322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA299061OtherAMERIGROUP
VA188526OtherANTHEM HEALTHKEEPERS
VA004945026Medicaid
VA0109OtherCARE FIRST BCBS
VA299061OtherAMERIGROUP
VAH87680Medicare UPIN