Individual
LAVONTA MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CENTRAL PARK BLVD, FREDERICKSBURG, VA 22401-4942
(540) 760-8068
Mailing address
2215 PLANK RD, FREDERICKSBURG, VA 22401-5226
(540) 809-9954
(540) 301-5882
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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