LORI BANNON P LLC

VIRGINIA BEACH, VA
NPI1013794288
Entity TypeOrganization
Authorized ContactLORI BANNON
Owner
577-540-5537
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-09-12
Last Update Date2023-09-12
Business Address
LORI BANNON P LLC
4509 WHITECHAPEL DR
VIRGINIA BEACH, VA 23455-6447
Phone number: 757-460-4655
Mailing Address
LORI BANNON P LLC
4509 WHITECHAPEL DR
VIRGINIA BEACH, VA 23455-6447
Phone number: 757-460-4655