Individual
MRS. LORRETTA R HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 MEDICAL PARKWAY, SUITE 314, CHESAPEAKE, VA 23320-4985
(757) 549-4403
(757) 549-4332
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024128931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007792476
—
VA
01
—
1002186N
OPTIMA
VA
05
—
1609871110
—
VA
Enumeration date
06/21/2005
Last updated
06/03/2009
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