| NPI | 1376967166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K LUCIANO Family Nurse Practitioner 757-423-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170992) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |