Individual
LASCHAE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 DISCOVERY RD, GRETNA, VA 24557-4717
(434) 728-2083
Mailing address
192 DISCOVERY RD, GRETNA, VA 24557-4717
(434) 728-2083
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
07/21/2022
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