Individual
MRS. LARISSA S NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP
Contact information
Practice address
1715 THOMSON DR, LYNCHBURG, VA 24501-1101
(434) 846-2244
Mailing address
2015 TATE SPRINGS RD, STE A2, LYNCHBURG, VA 24501-1100
(434) 846-2244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457423550
GROUP NPI
VA
Enumeration date
05/08/2007
Last updated
02/18/2020
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