Individual
MRS. LISA KAREN FANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16507 OLD TIMBER RD, ABINGDON, VA 24210-8478
(276) 698-4325
Mailing address
16507 OLD TIMBER RD, ABINGDON, VA 24210-8478
(276) 698-4325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186481
VA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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