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NPI Code Detail

MEDICARE: MR. LAWRENCE ALEXANDER L.P.N.

MEDICARE: MR. LAWRENCE ALEXANDER L.P.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse0001133089VA

General Provider Information

NPI Number : 1861637118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAWRENCE ALEXANDER L.P.N.
Provider Business Mailing Address
First Line : 9507 HULL STREET RD
Second Line : SUITE G-1
City : RICHMOND
State : VA
Zip : 23236-1476
Country : US
Telephone Number : 804-837-2196
Fax Number :
Provider Business Practice Location Address
First Line : 9507 HULL STREET RD
Second Line : SUITE G-1
City : RICHMOND
State : VA
Zip : 23236-1476
Country : US
Telephone Number : 804-837-2196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2008
Last Update Date : 12/15/2008

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