Healthcare Provider Details

I. General information

NPI: 1053498071
Provider Name (Legal Business Name): LYNCHBURG NEPHROLOGY PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2091 LANGHORNE RD
LYNCHBURG VA
24501-1428
US

IV. Provider business mailing address

2091 LANGHORNE RD
LYNCHBURG VA
24501-1428
US

V. Phone/Fax

Practice location:
  • Phone: 434-947-3954
  • Fax: 434-947-5944
Mailing address:
  • Phone: 434-947-3954
  • Fax: 833-973-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA RUNIONS
Title or Position: PRACTICE MANAGER
Credential: RN
Phone: 805-345-5956