| NPI | 1285463109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCIE LOKIS Nurse Practitioner 757-553-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |