Lisa Dawn Fetters, NP

NPI #1104254473 in Norfolk, Virginia

Provider Information

NPI Number
1104254473
Entity Type
Individual
Name
Lisa Dawn Fetters, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
NP
Enumeration Date
Oct 24, 2013
Last Updated
Nov 6, 2013

Practice Location

Address
150 KINGSLEY LN
ZIP Code
23505-4602
Phone
(757) 484-5900

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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