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LAWRENCE JEBANESON ATHISAYANATHAN FNP-C
NPI 1033061544
Nurse Practitioner - Family in Glen Allen, VA

Active since February 10, 2026
11504 SADLER WALK LN, GLEN ALLEN, VA 23060(804) 615-9796 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Jebaneson Athisayanathan Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE JEBANESON ATHISAYANATHAN FNP-C (NPI 1033061544) is an individual family provider in Glen Allen, Virginia, licensed in Virginia (0024194806) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1033061544
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLAWRENCE JEBANESON ATHISAYANATHANCredential: FNP-C
Location Address11504 SADLER WALK LNGlen Allen, VA 23060-6516
Mailing Address11504 Sadler Walk LnGlen Allen, VA 23060-6516
Phone(804) 615-9796
Sole ProprietorYes
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1033061544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024194806
11504 SADLER WALK LN, Glen Allen, VA 23060
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Athisayanathan's NPI number?

The NPI number for Lawrence Athisayanathan is 1033061544. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Lawrence Athisayanathan located?

Lawrence Athisayanathan practices at 11504 Sadler Walk Ln, Glen Allen, VA 23060. The listed phone number is (804) 615-9796.

What is Lawrence Athisayanathan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lawrence Athisayanathan was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.