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Organization
LA-NP PSYCHIATRIC MENTAL-HEALTH , PLC
Active
Organization
LA-NP PSYCHIATRIC MENTAL-HEALTH , PLC
Active
Other names
LA-NP Psychiatric Mental-Health, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLANDA SPURLOCK NP- PSYCHIATRIC MH (MANAGER)
(856) 404-5794
Entity
Organization
Contact information
Practice address
11900 TIDELINE CIR, CHESTER, VA 23836-5437
(856) 404-5794
Mailing address
11900 TIDELINE CIR, CHESTER, VA 23836-5437
(856) 404-5794
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
04/04/2022
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