Doctor Name: | MR. PAUL EDWARD FOSTER |
NPI Number: | 1013205723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110-003634 |
Business Practice Address: | 2137 Lakeside Dr Ste 100 Lynchburg, VA - 245016806 |
Business Phone Number: | 4343854184 |
Business Fax Number: | 4343858616 |
Mailing Address: | 2137 Lakeside Dr, Ste 100 LYNCHBURG |
State: | VA |
Postal Code: | 245016806 |
Phone Number: | 4343854184 |
Fax Number: | 4343858616 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110-003634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |