Individual
DR. CRISTINA M LECAROS-TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
165 PEPPERS FERRY ROAD, WYTHEVILLE, VA 24382-2363
(276) 223-5400
(276) 223-5454
Mailing address
165 PEPPERS FERRY ROAD, WYTHEVILLE, VA 24382-2363
(276) 223-5400
(276) 223-5454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101045179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084392000WV
—
WV
Enumeration date
04/26/2007
Last updated
09/20/2011
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