Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0101056995 | VA |
NPI | 1023078581 |
---|---|
Provider Name | Dr. Gail L. Ganser |
First Address | Lynchburg, VA 24502-4271 |
Second Address | Lynchburg, VA 24502-4271 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 26/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023078581 | (05) | VA |
180032337 | MEDICARE RAILROAD (01) | |
242991 | ANTHEM (01) | VA |
G42019 | (02) |