MISSION FUNCTIONAL MEDICINE PLLC NPI 1225514136

NPI Information

  • NPI: 1225514136
  • Provider Name: MISSION FUNCTIONAL MEDICINE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 49D2156295
  • Address: 230 COSTELLO DR STE 210
    WINCHESTER, VA
    ZIP 22602
  • Phone: (540) 247-8476

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NPI Details

MISSION FUNCTIONAL MEDICINE, PLLC is a family medicine in Winchester, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MISSION FUNCTIONAL MEDICINE, PLLC NPI is 1225514136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 COSTELLO DR STE 210
WINCHESTER, VA
ZIP 22602-310
Phone: (540) 247-8476
Fax: (540) 869-3524

The provider's authorized official is Shawn C Lawson .
The authorized official title is Office Manager and has the following contact phone number (540) 247-8476.

The CLIA number assigned to this NPI record is 49D2156295 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/13/2018 and was last updated on 7/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0102202773VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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