Provider Demographics
NPI:1326212465
Name:LANKFORD, ELAINE A (NP)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:A
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:ELAINE
Other - Last Name:LANKFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3500 VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-4445
Mailing Address - Country:US
Mailing Address - Phone:757-412-1048
Mailing Address - Fax:757-412-1483
Practice Address - Street 1:3500 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-4445
Practice Address - Country:US
Practice Address - Phone:757-412-1048
Practice Address - Fax:757-412-1483
Is Sole Proprietor?:No
Enumeration Date:2008-04-19
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily