Individual
MR. DAVID T LUYIMBAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
0101256949
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VVE762A
MEDICARE PTAN
VA
Enumeration date
07/16/2007
Last updated
04/22/2021
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