NPI 1104173608

Angela Carter Lea

Practitioner Preferred Provider Organization Danville, VA

Practice location

Address: 126 Ashwood Pl, Danville, VA 24541-6110
Phone: (434) 548-6654
Fax: (434) 792-3257

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1104173608
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2012
Record last updated: 14 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.