Individual
LEA PALMER HOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHCNS- BC
Contact information
Practice address
214 S BRADDOCK ST, WINCHESTER, VA 22601-4043
(540) 533-1187
(888) 387-5457
Mailing address
214 S BRADDOCK ST, WINCHESTER, VA 22601-4043
(540) 533-1187
(888) 387-5457
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
0015000404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006597
—
VA
01
—
019133
ANTHEM
VA
Enumeration date
03/18/2006
Last updated
10/15/2010
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