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2137 Lakeside Dr Lynchburg VA 24501-6803 | |
(434) 385-4184 | |
(434) 385-0381 |
Full Name | |
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Speciality | Family Medicine |
Location | 2137 Lakeside Dr, Lynchburg, Virginia |
Authorized Official Name and Position | Karen L Haynes (STAFF CREDENTIALING MANAGER) |
Authorized Official Contact | 4343821139 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2489 Forest VA 24551-6489 Ph: (434) 382-1139 | 2137 Lakeside Dr Lynchburg VA 24501-6803 Ph: (434) 385-4184 |
NPI Number | 1972680049 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 03/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972680049 | NPI | - | NPPES |
1528155892 | Other | VA | CVFP CORPORATE NPI |
1528155892 | Medicaid | VA | |
CA2436 | Other | VA | MEDICARE RAILROAD |
CO3658 | Other | VA | CVFP MCARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ptc Wellness Centers Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2832 Candlers Mtn Rd, Lynchburg, VA 24502 Phone: 434-455-1550 Fax: 434-455-1556 | |
Liberty Mountain Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 Wards Rd, Lynchburg, VA 24502 Phone: 434-582-2273 Fax: 434-582-1363 | |
Deborah Armstrong Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Two Creek Dr, Lynchburg, VA 24502 Phone: 804-539-4031 | |