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Individual

JOYCE LYNN LEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
13609 CARROLLTON BLVD, SUITE 11, CARROLLTON, VA 23314-3214
(757) 238-8751
(757) 238-8750
Mailing address
7007 HARBOUR VIEW BLVD, SUITE 108, SUFFOLK, VA 23435-2719
(757) 215-2745
(757) 215-2728

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102049953
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5600677
VA
Enumeration date
04/07/2006
Last updated
01/02/2013
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