Lula May Blankenship
Individual provider Active NPI Licensed Practical Nurse · Roanoke, VA
NPI 1124745781 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1124745781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0002092324 (VA)
- Practice address
- 3208 Hershberger Rd NW
Roanoke, VA 24017-1842 - Phone
- (540) 227-8426
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002092324 | VA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0002092324 | VA | Yes |
Addresses
Primary practice location
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Mailing address
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Phone (540) 505-6646
Other providers in Roanoke, VA
- Victoria Elizabeth Blair
- Melanie Holloway Blanding
- James Blankenship
- Janelle S Blankenship
- Jordan Blankenship
- Tammy Michele Heath Blankenship
- Grace Blaylock
- Lauren Bledsoe
- Blink Optometry PC
- Terri Blomberg
All providers in Roanoke, VA · Licensed Practical Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.