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1366900482
LANAY AMBERLY FONDA
ROANOKE, VA
NPI
1366900482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024177477)
Enumeration Date
2019-03-07
Last Update Date
2024-10-21
Business Address
Mrs. LANAY AMBERLY FONDA FNP-C
1111 S JEFFERSON ST STE B
ROANOKE, VA 24016-4724
Phone number: 540-769-3964
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Mailing Address
Mrs. LANAY AMBERLY FONDA FNP-C
PO BOX 8310
ROANOKE, VA 24014-0310
Phone number: 540-345-3556
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