Individual
MRS. LAUREN STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 E MARSHALL ST, RICHMOND, VA 23298-5054
(804) 828-0450
Mailing address
2603 EDGEWOOD AVE, RICHMOND, VA 23222-3513
(804) 869-5498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178356
VA
Other
Enumeration date
02/05/2020
Last updated
09/01/2022
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