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Individual

DR. LISA ANNE HOLLAND

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
10148 W BROAD ST, SUITE 101, GLEN ALLEN, VA 23060-6760
(804) 747-7474
(804) 965-9360
Mailing address
10148 W BROAD ST, GLEN ALLEN, VA 23060-6760
(804) 747-7474
(804) 965-9360

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001817
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
257776
ANTHEM
VA
Enumeration date
04/20/2006
Last updated
07/08/2007
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