Individual
DR. REINA LUCILLE BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
Mailing address
2859 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-7613
(757) 395-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101268005
VA
207Q00000X
Family Medicine Physician
LP03185
RI
Other
Enumeration date
06/09/2014
Last updated
06/27/2024
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