Healthcare Provider Details

I. General information

NPI: 1457691271
Provider Name (Legal Business Name): WASHINGTON AND LEE UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 02/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W WASHINGTON ST EARLY-FIELDING BUILDING
LEXINGTON VA
24450-2116
US

IV. Provider business mailing address

204 W WASHINGTON ST EARLY-FIELDING BUILDING
LEXINGTON VA
24450-2116
US

V. Phone/Fax

Practice location:
  • Phone: 540-458-8590
  • Fax: 540-458-8989
Mailing address:
  • Phone: 540-458-8590
  • Fax: 540-458-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN G. MCALLISTER
Title or Position: VP FINANCE/TREASURER
Credential:
Phone: 540-458-8942