Individual
LESLIE ANN LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 312D, ABINGDON, VA 24211-7664
(276) 258-1740
(276) 258-1745
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 312D, ABINGDON, VA 24211-7664
(276) 258-1740
(276) 258-1745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172516
VA
363LF0000X
Family Nurse Practitioner
14909
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619293677
—
VA
01
—
P01583067
RR MEDICARE
VA
Enumeration date
04/15/2010
Last updated
02/15/2017
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