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Individual

MS. LAURIE A WILMOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1040 MAIN ST, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807
Mailing address
1040 MAIN ST, PO BOX 1360, DANVILLE, VA 24541-1816
(434) 792-1433
(434) 797-2807

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024055870
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010115477
VA
Enumeration date
05/22/2006
Last updated
11/09/2010
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