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Individual

ELIZABETH CLARE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-3908
Mailing address
319 WESTOVER BLVD, LYNCHBURG, VA 24501-3639
(619) 550-9669

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010410
VA
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110010410
THE COMMONWEALTH OF VIRGINIA
VA
Enumeration date
07/29/2024
Last updated
10/23/2024
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