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Contact Information

LISA R BROCK, RN
1400 JOHNSTON WILLIS DR
STE A
RICHMOND, VA23235-4765
 Phone: 804-379-8088
 Fax: 804-794-6067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for LISA R BROCK · (Female)

NPI Number 1871742064
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/12/2008
Last updated 01/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0001106374
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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