Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 0101042453 | VA |
NPI | 1265511323 |
---|---|
Provider Name | Dr. Regina Elizabeth Auth |
First Address | Lynchburg, VA 24503-1350 |
Second Address | Evansville, IN 47750-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 09/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93362 | (02) | VA |