Individual
DR. GERNITA LAZALE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P.
Contact information
Practice address
50 MEDICAL PARK BLVD STE C, PETERSBURG, VA 23805-9275
(804) 733-8821
(804) 861-4365
Mailing address
3850 GASKINS RD STE 210, RICHMOND, VA 23233-1447
(804) 500-1400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024172803
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172803
VA
363LF0000X
Family Nurse Practitioner
0024172803
VA
363LG0600X
Gerontology Nurse Practitioner
0024172803
VA
Other
Enumeration date
07/28/2015
Last updated
09/18/2024
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