Individual
MICHELA LOREN MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(540) 686-5939
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
01/21/2024
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