Individual
LINA SUE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 WASHINGTON STREET, BOYDTON, VA 23917
(434) 738-6102
(434) 738-6982
Mailing address
380 WASHINGTON STREET, BOYDTON, VA 23917
(434) 738-6102
(434) 738-6982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101047273
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292464
BCBS
VA
01
—
P00379562
RAILROAD MEDICARE
VA
Enumeration date
07/11/2006
Last updated
05/02/2008
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