Individual
LULA MAY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 227-8426
Mailing address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 505-6646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002092324
VA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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