Individual
LENA LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 AMBER BAY CT, VIRGINIA BEACH, VA 23456-5315
(717) 919-1052
Mailing address
PO BOX 6613, VIRGINIA BEACH, VA 23456-0613
(717) 919-1052
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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