Healthcare Provider Details

I. General information

NPI: 1255313870
Provider Name (Legal Business Name): PATRICIA L SALTZER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2137 LAKESIDE DR
LYNCHBURG VA
24501-6803
US

IV. Provider business mailing address

2137 LAKESIDE DR
LYNCHBURG VA
24501-6803
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-4184
  • Fax: 434-385-8616
Mailing address:
  • Phone: 434-385-4184
  • Fax: 434-385-8616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0024044536
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: