Individual
MRS. LISA RENA CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 CROSSWAYS BLVD STE 103, CHESAPEAKE, VA 23320-0206
(757) 567-2698
Mailing address
1580 CROSSWAYS BLVD 103 SUITE 12, CHESAPEAKE, VA 23320-2031
(757) 567-2698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1201092084
VA
Other
Enumeration date
08/17/2021
Last updated
02/16/2025
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