Individual
DOREEN ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(434) 544-8100
Mailing address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009584
VA
Other
Enumeration date
04/13/2023
Last updated
09/08/2025
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