person
Elizabeth Lee Crockett, PA
Medical Physician Assistant in Virginia Beach, Virginia
NPI 1306106190

Elizabeth Lee Crockett is a Medical Physician Assistant based in Portsmouth, VA and is specialized in Medical. Elizabeth Lee Crockett practices in Virginia Beach, VA and has the professional credentials of PA. The NPI Number for Elizabeth Lee Crockett is 1306106190 and holds a License No. 0110003870 (Virginia).

The current practice location address for Elizabeth Lee Crockett is 4092 Foxwood Dr, Virginia Beach, VA and can be reached out via phone at 757-686-3508 and via fax at 757-686-0541.

Location: 4092 Foxwood Dr, Virginia Beach, VA, 23707-0549
person
Provider Profile Details
NPI Number
1306106190
Provider Name
Elizabeth Lee Crockett
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4092 Foxwood Dr, Virginia Beach, VA, 23707-0549
Phone Number
757-686-3508
Fax Number
757-686-0541
Provider Enumeration Date
05/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4092 Foxwood Dr
City
State
Zip
23462-5225
Phone Number
757-686-3508
Fax Number
757-686-0541
person
Provider Business Mailing Address Details
Address
4092 Foxwood Dr
City
State
Zip
23462-5225
Phone Number
757-686-3508
Fax Number
757-686-0541
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110003870 (Virginia)
Definition
Definition to come...
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