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1023622149
STEPHANIE LANE PORTER
LYNCHBURG, VA
NPI
1023622149
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Former Name
STEPHANIE LANE DEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179655)
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
STEPHANIE LANE PORTER FNP-BC
3300 RIVERMONT AVE
LYNCHBURG, VA 24503-2030
Phone number: 434-200-5999
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Mailing Address
STEPHANIE LANE PORTER FNP-BC
3300 RIVERMONT AVE
LYNCHBURG, VA 24503-2030
Phone number: 434-200-5999
Copy
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