Individual
TIMOTHY LEE BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 QUAKER PKWY, LYNCHBURG, VA 24502-1918
(434) 258-2589
Mailing address
5900 QUAKER PKWY, LYNCHBURG, VA 24502-1918
(434) 258-2589
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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