Individual
TIMOTHY LANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BANER LN, BUENA VISTA, VA 24416-4718
(540) 572-4213
Mailing address
18367 OAK RIDGE DR, PURCELLVILLE, VA 20132-4047
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B202301134
VA
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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