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1225200066
LISA A RIVERA
SUFFOLK, VA
NPI
1225200066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024167690)
Enumeration Date
2008-04-01
Last Update Date
2013-01-04
Business Address
-- LISA A RIVERA NP
1000 COMMERCIAL LN
SUFFOLK, VA 23434-8148
Phone number: 757-942-1025
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Mailing Address
-- LISA A RIVERA NP
5268 GODWIN BLVD
SUFFOLK, VA 23434-8114
Phone number: 757-255-7117
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