| Dr. Lyb, Llc | |
|
4870 Sadler Rd Ste 300 Glen Allen VA 23060-6294 | |
| (804) 299-3989 | |
| Not Available |
| Full Name | Dr. Lyb, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4870 Sadler Rd Ste 300, Glen Allen, Virginia |
| Authorized Official Name and Position | Alla Lerner-brandon (OWNER/PROVIDER) |
| Authorized Official Contact | 8042993989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lyb, Llc 4870 Sadler Rd Ste 300 Glen Allen VA 23060-6294 Ph: (804) 299-3989 | Dr. Lyb, Llc 4870 Sadler Rd Ste 300 Glen Allen VA 23060-6294 Ph: (804) 299-3989 |
| NPI Number | 1114794021 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 8628429990 |
|---|---|
| Medicare Enrollment ID | O20240111000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114794021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alla Lerner-brandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528081106 PECOS PAC ID: 8628003894 Enrollment ID: I20050927001349 |
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