Latondra Stillwell -Bark in Lynchburg - Physician Assistant

Latondra Stillwell -Bark - NPI 1245398221

Latondra Stillwell -Bark is a Physician Assistant in Lynchburg, Virginia. Latondra Stillwell -Bark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Latondra Stillwell -Bark is 1245398221. The last update date is 2023-08-09.

Latondra Stillwell -Bark's current location address is 1501 Lakeside Dr, Lynchburg, Virginia. You can contact this provider via phone number 2173833270 and fax number 2173834116. The mailing address for Latondra Stillwell -Bark is 1501 Lakeside Dr, Lynchburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Latondra Stillwell -Bark
Address 1501 Lakeside Dr, Lynchburg, Virginia
Phone Number 2173833270
Fax Number 2173834116
Sole Proprietor N
Credentials DMSC, MPAS

NPI Number Detail

NPI Number 1245398221
Provider Enumeration Date 2006-12-04
Last Updated Date 2023-08-09

Provider Mailing Address Detail

Address 1501 Lakeside Dr
City Lynchburg
State Virginia (VA)
Post Code 245013113
Phone Number 2173833270
Fax Number 2173834116

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 101921
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Latondra Stillwell -Bark

What is the unique 10-digit identifier code assigned to Latondra Stillwell -Bark by the Centers for Medicare & Medicaid Services?

The Latondra Stillwell -Bark has been issued the NPI (National Provider Identifier) 1245398221 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Latondra Stillwell -Bark is geographically located?

The Latondra Stillwell -Bark is physically situated at the following location: 1501 Lakeside Dr, Lynchburg, VA, 245013113.

What is Latondra Stillwell -Bark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Latondra Stillwell -Bark's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When did Latondra Stillwell -Bark receive its 1245398221 assignment?

The Latondra Stillwell -Bark was assigned its 1245398221 on 2006-12-04, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Latondra Stillwell -Bark most recently updated or revised?

The information pertaining to Latondra Stillwell -Bark, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-09.

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