Alex Lee Ballou, LPN in Bis Stone Gap, VA - Licensed Practical Nurse

Alex Lee Ballou, LPN is a Licensed Practical Nurse based in Bis Stone Gap, Virginia. Alex Lee Ballou is licensed to practice in Virginia (license number 0002059856) and her current practice location is 3169 Second Ave E, Bis Stone Gap, Virginia. She can be reached at her office (for appointments etc.) via phone at (276) 523-8300.

NPI number for Alex Lee Ballou is 1275671554 and her current mailing address is Po Box 9054, Gray, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275671554.

Contact Information

	Alex Lee Ballou, LPN
	3169 Second Ave E, Bis Stone Gap, VA 24219
	(276) 523-8300
	(276) 523-6964

Provider's Profile

Full Name	Alex Lee Ballou
Gender	Female
Speciality	Licensed Practical Nurse
Location	3169 Second Ave E, Bis Stone Gap, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1275671554
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Alex Lee Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275671554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	0002059856 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alex Lee Ballou is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alex Lee Ballou, LPN Po Box 9054, Gray, TN 37615-9054 Ph: (423) 467-3600	Alex Lee Ballou, LPN 3169 Second Ave E, Bis Stone Gap, VA 24219 Ph: (276) 523-8300

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Alex Lee Ballou, LPN - Licensed Practical Nurse in Bis Stone Gap, VA