Individual
NEAL CABANISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2137 LAKESIDE DR, LYNCHBURG, VA 24501-6806
(434) 385-4184
(434) 385-8616
Mailing address
2137 LAKESIDE DR, LYNCHBURG, VA 24501-6806
(434) 385-4184
(434) 385-8616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-001982
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010114098
—
VA
Enumeration date
02/02/2006
Last updated
08/14/2013
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