Healthcare Provider Details
I. General information
NPI: 1992706394
Provider Name (Legal Business Name): JULIE ANNE MONROE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/09/2005
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 COMFORT WAY STE 1
LEXINGTON VA
24450-3788
US
IV. Provider business mailing address
PO BOX 388
FISHERSVILLE VA
22939-0388
US
V. Phone/Fax
- Phone: 540-463-3381
- Fax: 540-463-3477
- Phone: 540-332-5168
- Fax: 540-932-5875
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 20AF239 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0102203914 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: