Individual
ELIZABETH LAROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 N. MAIN STREET, LEXINGTON, VA 24450
(540) 463-3346
(540) 464-3346
Mailing address
712 N MAIN ST, LEXINGTON, VA 24450-2819
(540) 463-3346
(540) 464-3346
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-3586915
—
VA
Enumeration date
09/21/2016
Last updated
09/21/2016
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