Individual
LISA TIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 LANCE DR, NEWPORT NEWS, VA 23601-1622
(757) 344-8492
Mailing address
717 LANCE DR, NEWPORT NEWS, VA 23601-1622
(757) 599-6853
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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