person
Mrs. Lea Pontiveros Lander, PA-C
Medical Physician Assistant in Richmond, Virginia
NPI 1538115936

Lea Pontiveros Lander is a Medical Physician Assistant based in Richmond, VA and is specialized in Medical. Lea Pontiveros Lander practices in Richmond, VA and has the professional credentials of PA-C. The NPI Number for Lea Pontiveros Lander is 1538115936 and holds a License No. 1037158 (Virginia).

The current practice location address for Lea Pontiveros Lander is 1201 Broad Rock Blvd, Richmond, VA and can be reached out via phone at 804-675-5444 and via fax at 804-675-5420. You can also correspond with Lea Pontiveros Lander through the mailing address at 5229 UPP ST, RICHMOND, VA - 23234-4762 (mailing address contact number: 804-675-5444).

Location: 1201 Broad Rock Blvd, Richmond, VA, 23234-4762
person
Provider Profile Details
NPI Number
1538115936
Provider Name
Lea Pontiveros Lander
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1201 Broad Rock Blvd, Richmond, VA, 23234-4762
Phone Number
804-675-5444
Fax Number
804-675-5420
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 Broad Rock Blvd
City
State
Zip
23249-0001
Phone Number
804-675-5444
Fax Number
804-675-5420
person
Provider Business Mailing Address Details
Address
1201 Broad Rock Blvd
City
State
Zip
23249-0001
Phone Number
804-675-5444
Fax Number
804-675-5420
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1037158 (Virginia)
Definition
Definition to come...
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