Individual
LISA A FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4329 MORGAN HILL RD, COEBURN, VA 24230-6635
(276) 219-2227
Mailing address
4329 MORGAN HILL RD, COEBURN, VA 24230-6635
(276) 219-2227
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PGP-0621542
VA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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