Individual
LOU GENE BARTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SANGER'S LANE, STAUNTON, VA 24401-6719
(540) 887-3200
(540) 887-3240
Mailing address
85 SANGER'S LANE, STAUNTON, VA 24401-6719
(540) 887-3200
(540) 887-3240
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101039019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945166
—
VA
01
—
085901M
SENTAVA
VA
01
—
183985
ANTHEM
VA
Enumeration date
11/15/2005
Last updated
11/17/2010
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