Provider First Line Business Practice Location Address:
204 W WASHINGTON ST
Provider Second Line Business Practice Location Address:
STUDENT HEALTH CENTER/DAVIS RESIDENCE HALL
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24450-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-458-8401
Provider Business Practice Location Address Fax Number:
540-458-8404
Provider Enumeration Date:
02/25/2013