Organization
LYNCHBURG ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SHERBAN MD (PRESIDENT)
(844) 635-6467
Entity
Organization
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(844) 635-6467
Mailing address
PO BOX 392081, PITTSBURGH, PA 15251-9081
(844) 635-6467
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC4114
RAILROAD MEDICARE
VA
Enumeration date
09/29/2006
Last updated
10/14/2016
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