Victoria Lee Vastine
Plastic and Reconstructive Surgery
595 Martha Jefferson Dr Ste 280
Charlottesville
, Virginia 22911-4669
Victoria Lee Vastine
Plastic and Reconstructive Surgery
595 Martha Jefferson Dr Ste 280
Charlottesville
, Virginia 22911-4669
(434) 654-7752
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Victoria Lee Vastine
- Po Box 79777
- Baltimore, MD
- Zip : 21279-0777
- Fax : (434) 654-7752
- Phone : (434) 654-7794
Second Address
- Victoria Lee Vastine
- 595 Martha Jefferson Dr Ste 280
- Charlottesville, VA
- Zip : 22911-4669
- Fax : (434) 654-8921
- Phone : (434) 654-8920
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101057657 | VA |
National Provider Identifier
| NPI | 1174587141 |
|---|---|
| Provider Name | Victoria Lee Vastine |
| First Address | Baltimore, MD 21279-0777 |
| Second Address | Charlottesville, VA 22911-4669 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 09/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G79382 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.