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Individual

LISA SINGLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3619 FALSTONE RD, NORTH CHESTERFIELD, VA 23234-3723
(804) 986-1358
Mailing address
PO BOX 1598, CHESTERFIELD, VA 23832-9105
(804) 986-1358

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2065
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2065
VA
Enumeration date
09/15/2014
Last updated
09/15/2014
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