Individual
LAVONNE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4910 VALLEY VIEW BLVD NW, SUITE 310, ROANOKE, VA 24012-2040
(540) 362-0360
Mailing address
4910 VALLEY VIEW BLVD NW, SUITE 310, ROANOKE, VA 24012-2040
(540) 362-0360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167925
VA
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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