Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101269171 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | PENDING | VA |
N | 208000000X | Pediatrician | 037402 | CT |
NPI | 1780650143 |
---|---|
Provider Name | Dr. Debora Ann Mihaley-Sobelman |
First Address | Lynchburg, VA 24503-4110 |
Second Address | Lynchburg, VA 24501-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 10/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004236007 | (05) | CT |
D87913 | (02) | CT |