LEA PONTIVEROS LANDER

RICHMOND, VA
NPI1538115936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  1037158)
Enumeration Date2006-05-26
Last Update Date2007-07-08
Business Address
Mrs. LEA PONTIVEROS LANDER PA-C
1201 BROAD ROCK BLVD
RICHMOND, VA 23249-0001
Phone number: 804-675-5444
Mailing Address
Mrs. LEA PONTIVEROS LANDER PA-C
5229 UPP ST
RICHMOND, VA 23234-4762
Phone number: 804-675-5444
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