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Organization
LIGHTYEAR HEALTH CLINIC VIRGINIA PC
Active
Organization
LIGHTYEAR HEALTH CLINIC VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RIKHYE (VICE PRESIDENT OPERATIONS)
(888) 380-0988
Entity
Organization
Contact information
Practice address
919 E MAIN ST STE 1000, RICHMOND, VA 23219-4623
(888) 380-0988
(289) 236-3022
Mailing address
2950 BUSKIRK AVE STE 300, WALNUT CREEK, CA 94597-6900
(888) 380-0988
(289) 236-3022
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/28/2022
Last updated
02/12/2024
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