Individual
LASHALL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 KING ST, FREDERICKSBURG, VA 22401-7121
(540) 642-7345
Mailing address
920 BELLOWS AVE, FREDERICKSBURG, VA 22405-1210
(540) 642-7345
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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