Individual
MS. LISA G LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
1661 S MAIN ST, HARRISONBURG, VA 22801-2728
(540) 433-2554
(540) 433-8035
Mailing address
841 OLD FURNACE RD, HARRISONBURG, VA 22802-6004
(540) 434-3505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001-115910
VA
363LF0000X
Family Nurse Practitioner
0024-165317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010148219
—
VA
05
—
7793031
—
VA
Enumeration date
01/19/2006
Last updated
11/09/2008
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