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1336380633
LELLISE TAYE SHEWAKENA
VIRGINIA BEACH, VA
NPI
1336380633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101247521)
Enumeration Date
2009-03-16
Last Update Date
2021-06-13
Business Address
Dr. LELLISE TAYE SHEWAKENA MD
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-3002
Phone number: 757-395-8000
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Mailing Address
Dr. LELLISE TAYE SHEWAKENA MD
1890 METRO CENTER DR
RESTON, VA 20190-5222
Phone number: 703-709-1667
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