Individual
LISA K SALYARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
(540) 776-2083
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
(540) 776-2083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629175401
—
VA
01
—
P00453920
RAILROAD MEDICARE
VA
Enumeration date
09/20/2006
Last updated
11/16/2009
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