Individual
ELIZABETH LEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(614) 715-3985
Mailing address
1505 BIRCH LEAF RD, CHESAPEAKE, VA 23320-8172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9463958
FL
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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