Provider Demographics
NPI:1255193330
Name:MAYS, LEANN C (LPN)
Entity type:Individual
Prefix:MS
First Name:LEANN
Middle Name:C
Last Name:MAYS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:LEANN
Other - Middle Name:CHRISTINA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:4000 MURRAY PL
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-5004
Mailing Address - Country:US
Mailing Address - Phone:434-439-3283
Mailing Address - Fax:
Practice Address - Street 1:4000 MURRAY PL
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-5004
Practice Address - Country:US
Practice Address - Phone:434-439-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002099283164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse