Individual
REBECCA PEABODY LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2105 E PARHAM RD, RICHMOND, VA 23228-2236
(804) 921-2220
Mailing address
2105 E PARHAM RD, RICHMOND, VA 23228-2236
(804) 921-2220
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166832
VA
Other
Enumeration date
04/12/2011
Last updated
08/05/2021
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