Individual
MRS. LOREN WALDEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, RN
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
(804) 819-5221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001270374
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024179895
VA
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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