# LETT MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lett Medical Group, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194440503
- **Authorized official:** DEXTER S LETT PMHNP-BC (OWNER)
- **Authorized official phone:** (804) 219-9519

## Contact information

- **Practice address:** 6960 FOREST HILL AVE STE B, RICHMOND, VA 23225-1606
- **Practice address phone:** (804) 219-9519
- **Practice address fax:** (804) 293-3934
- **Mailing address:** 1707 WINESAP DR, RICHMOND, VA 23231-5147
- **Mailing address phone:** (804) 219-9519
- **Mailing address fax:** (804) 293-3934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2022
- **Last updated:** 01/29/2024
