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Individual

DONNA A. LANDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4916 PLANK RD, NORTH GARDEN, VA 22959-1613
(434) 243-4660
(434) 977-3703
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258853
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120764
AL
01
8AN555
BCBS
TX
01
P00834407
RAILROAD MEDICARE
AL
Enumeration date
09/29/2008
Last updated
08/10/2023
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