Individual
MISS LISA BRADNER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
109 BRIDGE ST STE 202, DANVILLE, VA 24541-1222
(434) 792-5964
(434) 792-5971
Mailing address
PO BOX 43, CALLANDS, VA 24530-0043
(434) 770-5731
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024178301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024178301
VA BOARD OF NURSING
VA
Enumeration date
09/24/2019
Last updated
06/08/2023
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