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Individual

MRS. LISA COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2344 RIVERSIDE DR, DANVILLE, VA 24540-4212
(540) 769-3964
Mailing address
574 MANGRUMS RD, DANVILLE, VA 24541-8508
(434) 228-9571

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
F07190388
VA
207RN0300X
Nephrology Physician
0024178030
VA
363L00000X
Nurse Practitioner
0024178030
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178030
VA

Other

Enumeration date
07/11/2019
Last updated
04/21/2025
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