Individual
MRS. KARA KERNUS LANZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MAIN ST, SUFFOLK, VA 23434-4529
(703) 517-9115
Mailing address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 495-4211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004920
VA
Other
Enumeration date
10/18/2009
Last updated
09/06/2023
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