Organization
VIRGINIA LEA CONNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LEA CONNER MD (OWNER)
(928) 710-8800
Entity
Organization
Contact information
Practice address
141 S MCCORMICK ST STE 109, PRESCOTT, AZ 86303-4730
(928) 710-8800
Mailing address
141 S MCCORMICK ST STE 109, PRESCOTT, AZ 86303-4730
(928) 710-8800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
08/28/2012
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