Individual
LEA HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4311
(757) 874-4722
(757) 874-5166
Mailing address
12401 JEFFERSON AVE, NEWPORT NEWS, VA 23602-4311
(757) 874-4722
(757) 874-5166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011766
VA
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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