Individual
LIEN P DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
661 UNIVERSITY LN STE B, ORANGE, VA 22960-2243
(540) 661-3004
(434) 244-4508
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245086
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116018334
VA
Other
Enumeration date
05/04/2007
Last updated
08/09/2023
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