Individual
MS. MICHELE M LANEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1849 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3004
(757) 422-8476
(757) 425-8476
Mailing address
1849 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3004
(757) 422-8476
(757) 425-8476
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0105003416
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010239125
—
VA
01
—
TRICARE
228948320
VA
Enumeration date
07/12/2005
Last updated
03/21/2011
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