Individual
MR. LESTER DEAN CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, ANP-C
Contact information
Practice address
439 W YORK ST, NORFOLK, VA 23510-1114
(757) 441-6320
(757) 441-3760
Mailing address
6827 FORDWICK DR, NORFOLK, VA 23518-4938
(757) 441-6320
(757) 441-3760
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
149859
NC
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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