Individual
DR. ELIZENDA M. CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 NATIONWIDE DRIVE, LYNCHBURG, VA 54502-4271
(434) 947-3984
(434) 947-5950
Mailing address
116 NATIONWIDE DRIVE, LYNCHBURG, VA 24502-4271
(434) 947-3984
(434) 947-5950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01010230863
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558321182
—
VA
01
—
180042502
MEDICARE RAILROAD
—
01
—
430205
ANTHEM
VA
Enumeration date
03/27/2006
Last updated
02/18/2016
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