Lucy Corr Foundation, Inc.

NPI #1689243537 in Chesterfield, Virginia

Provider Information

NPI Number
1689243537
Entity Type
Organization
Organization Name
Lucy Corr Foundation, Inc.
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jun 23, 2021
Last Updated
Jul 1, 2021

Practice Location

Address
6800 LUCY CORR BLVD.
ZIP Code
23832-6657
Phone
(804) 467-2255

Authorized Official

Name
MS. TAMMY HOLBERT SHACKELFORD
Title
EXECUTIVE DIRECTOR
Phone
(804) 467-2255

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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