Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 0101237194 | VA |
NPI | 1447234778 |
---|---|
Provider Name | Patricia Powers |
First Address | Lynchburg, VA 24501-2115 |
Second Address | Lynchburg, VA 24501-2115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 24/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I27557 | (02) | VA |