Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Esam Al Nouman, LSA

Individual provider Surgical Assistant · NPI 1417253816

Esam Al Nouman, LSA is a Surgical Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
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Practice location Address checks out

12011 Lee Jackson Memorial Hwy Ste 501
Fairfax, VA 22033-3315
Phone: (571) 243-1066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 0136000372 (VA)

Record details

NPI number1417253816
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorYes
NPI enumeratedFebruary 2, 2011
Last updated in NPPESAugust 14, 2023
Certification dateMarch 15, 2022

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