Individual
LUCILLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(848) 354-0985
Mailing address
74 LEMON DR, BUENA VISTA, VA 24416-4403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001306032
VA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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