| Lucy Corr Foundation, Inc. | |
|
6800 Lucy Corr Blvd. Chesterfield VA 23832-6657 | |
| (804) 467-2255 | |
| Not Available |
| Full Name | Lucy Corr Foundation, Inc. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 6800 Lucy Corr Blvd., Chesterfield, Virginia |
| Authorized Official Name and Position | Tammy Holbert Shackelford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8044672255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucy Corr Foundation, Inc. 6800 Lucy Corr Blvd. Chesterfield VA 23832-6657 Ph: (804) 467-2255 | Lucy Corr Foundation, Inc. 6800 Lucy Corr Blvd. Chesterfield VA 23832-6657 Ph: (804) 467-2255 |
| NPI Number | 1689243537 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689243537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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