Individual
LASHON AKIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 NEW PARK RD, NORTH CHESTERFIELD, VA 23237-1725
(804) 502-2938
Mailing address
2704 NEW PARK RD, NORTH CHESTERFIELD, VA 23237-1725
(973) 816-0869
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85096263
—
VA
Enumeration date
07/28/2020
Last updated
07/28/2020
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