Basic Information
| Provider Information | |||||||||
| NPI: | 1518522960 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWEZEY | ||||||||
| FirstName: | LISA | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 316 MARY ANN DR APT 9 | ||||||||
| Address2: | |||||||||
| City: | LYNCHBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245023795 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6188038388 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1111 CORPORATE PARK DR STE D | ||||||||
| Address2: | |||||||||
| City: | FOREST | ||||||||
| State: | VA | ||||||||
| PostalCode: | 245512279 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4343821125 | ||||||||
| FaxNumber: | 4345442337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2019 | ||||||||
| LastUpdateDate: | 06/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024177508 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.