Individual
LORA C BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1040 UNIVERSITY BLVD, SUITE 200, PORTSMOUTH, VA 23703-2650
(757) 397-6930
(757) 393-4864
Mailing address
1040 UNIVERSITY BLVD, SUITE 200, PORTSMOUTH, VA 23703-2650
(757) 397-6930
(757) 393-4864
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166265
VA
Other
Enumeration date
07/25/2006
Last updated
08/02/2012
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