Individual
LORI ANN BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2225 ADMIRAL CIR, VIRGINIA BEACH, VA 23451-1733
(577) 540-5537
(757) 794-4781
Mailing address
1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3078
(757) 395-1850
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
0024173629
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024173629
VA
Other
Enumeration date
06/13/2016
Last updated
05/07/2025
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