Individual
LORELLA ADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 N LYNNHAVEN RD STE 100, VIRGINIA BEACH, VA 23452-7523
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007629
VA
363A00000X
Physician Assistant
NA 050936
PA
Other
Enumeration date
06/22/2006
Last updated
04/05/2023
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