Individual
LISA K DEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
185 REDWOOD AVE, SUITE 102, PENNINGTON GAP, VA 24277-2599
(276) 546-5310
(276) 546-3440
Mailing address
1001 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
(919) 834-3118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165418
VA
Other
Enumeration date
05/05/2006
Last updated
05/13/2019
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