Individual
DR. VIRGINIA A. LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
82 WHEATON DR, YOUNGSVILLE, NC 27596-8691
(919) 562-8887
(919) 570-0211
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11647
BLUE CROSS BLUE SHIELD
NC
01
—
2069198
AETNA
NC
01
—
260401
MAMSI
NC
05
—
8911647
—
NC
Enumeration date
02/15/2006
Last updated
06/26/2013
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