Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0102204160 | VA |
N | 207QS0010X | Family Doctor - Sports Medicine | 0102204160 | VA |
N | 207QS0010X | Family Doctor - Sports Medicine | 2990 | WV |
NPI | 1235490608 |
---|---|
Provider Name | Lindsay Pomrenke Call |
First Address | Blacksburg, VA 24060 |
Second Address | Blacksburg, VA 24060-7017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 09/12/2020 |