Individual
LISA DENISE BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 STEWART ST, CHESAPEAKE, VA 23324-2253
(757) 289-7843
Mailing address
1423 STEWART STREET, CHESAPEAKE, VA 23324
(757) 289-7843
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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