Individual
MRS. MICHELE LYN LATTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3905 PEGASI ROAD, HENRICO, VA 23231
(657) 576-0034
(866) 877-0889
Mailing address
3905 PEGASI ROAD, HENRICO, VA 23231
(657) 576-0034
(866) 877-0889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174235
VA
Other
Enumeration date
11/10/2016
Last updated
03/06/2026
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