Individual
MRS. LISA MARIE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5800 LAKE WRIGHT DR STE 101, NORFOLK, VA 23502-1804
(866) 933-8387
Mailing address
416 LAKE HAVASU DR, VIRGINIA BEACH, VA 23454-3977
(703) 801-6685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178137
VA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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