Individual
LEMUEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 GADDY RD, LYNCHBURG, VA 24502-4411
(434) 851-5454
Mailing address
111 GADDY RD, LYNCHBURG, VA 24502-4411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601507
VA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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