Organization
VIRGINIA LIGHTNER FAMILY DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA A LIGHTNER MD, PHD (OWNER)
(919) 562-8887
Entity
Organization
Contact information
Practice address
82 WHEATON DR, YOUNGSVILLE, NC 27596-8691
(919) 562-8887
(919) 570-0211
Mailing address
82 WHEATON DR, YOUNGSVILLE, NC 27596-8691
(919) 562-8887
(919) 570-0211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27232
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177R
BCBS
NC
Enumeration date
10/12/2006
Last updated
01/18/2008
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