Individual
HEATHER J BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2137 LAKESIDE DR, LYNCHBURG, VA 24501-6806
(434) 845-4175
(434) 385-8616
Mailing address
2137 LAKESIDE DR, LYNCHBURG, VA 24501-6806
(434) 845-4175
(434) 385-8616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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