Organization
RENEWED VITALITY & AGE MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R PALMITER JR. FNP-C (OWNER)
(804) 412-8343
Entity
Organization
Contact information
Practice address
13141 EPPES FALLS RD, CHESTERFIELD, VA 23838-1261
(804) 412-8384
Mailing address
13141 EPPES FALLS RD, CHESTERFIELD, VA 23838-1261
(804) 412-8384
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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