Individual
MALCOLM LOWELL COTHRAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 HOUSTON ST, LEXINGTON, VA 24450-2455
(540) 463-2181
(540) 463-1125
Mailing address
108 HOUSTON ST, LEXINGTON, VA 24450-2455
(540) 463-2181
(540) 463-1125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01010263136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006060722
—
VA
05
—
010206723
—
VA
01
—
060070
ANTHEM
VA
01
—
110047630
RAILROAD MEDICARE
VA
01
—
144811
SOUTHREN HEALTH SERVICES
VA
01
—
B4313
RAILROAD MEDICARE
VA
01
—
C00287
MEDICARE
VA
Enumeration date
09/19/2005
Last updated
05/06/2008
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