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Individual

DR. PATRICIA A. PLETKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-4651
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101032670
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203639329004
TRICARE
01
362952
ANTHEM
Enumeration date
07/15/2005
Last updated
04/29/2009
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