Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRONSON ELIZABETH DELASOBERA, MD
ActiveSports Medicine (EM) · MC LEAN, VA
Registration Details
- NPI Number
- 1255599742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2008 (17.896074212591 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
MD039254 (DC)FD2576366 (DC)
Practice Information
- Address
-
6858 OLD DOMINION DRMC LEAN, VA, 221013899Browse VA providers · Browse ZIP 22101
- Phone
- 7032882790
- Fax
- 7039977272
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.