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Individual

LAURA L YOUNG LIGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1040 MAIN ST, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807
Mailing address
PO BOX 1360, DANVILLE, VA 24543-1360
(434) 792-1433
(434) 797-2807

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024145340
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007610114
VA
01
1831187095
HEALTHNET FEDERAL SERVICES
VA
05
1831187095
VA
05
7006203
NC
Enumeration date
10/12/2005
Last updated
09/14/2012
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