Petty, Lisa

Petty, Lisa is an sole proprietor health care provider with primary practice located at 618 Hospital Rd , Tappahannock VA 22560-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petty, Lisa can be contacted via phone (804) 443-8628.

Contact Information

Primary practice address
618 Hospital Rd Tappahannock VA 22560-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0024177799 Virginia

Profile Details

NPI number 1518513118
LBN Legal business name Petty, Lisa
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2019
Last updated Jan 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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