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1013794288
LORI BANNON P LLC
VIRGINIA BEACH, VA
NPI
1013794288
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Entity Type
Organization
Authorized Contact
LORI BANNON
Owner
577-540-5537
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
LORI BANNON P LLC
4509 WHITECHAPEL DR
VIRGINIA BEACH, VA 23455-6447
Phone number: 757-460-4655
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Mailing Address
LORI BANNON P LLC
4509 WHITECHAPEL DR
VIRGINIA BEACH, VA 23455-6447
Phone number: 757-460-4655
Copy
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