Provider Demographics
NPI:1033605969
Name:SURGERY CENTER OF LYNCHBURG ANESTHESIA SERVICES, LLC
Entity Type:Organization
Organization Name:SURGERY CENTER OF LYNCHBURG ANESTHESIA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:SHANKS
Authorized Official - Last Name:SNEAD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:434-947-7700
Mailing Address - Street 1:2401 ATHERHOLT RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2184
Mailing Address - Country:US
Mailing Address - Phone:434-947-7700
Mailing Address - Fax:434-947-7711
Practice Address - Street 1:2401 ATHERHOLT RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2184
Practice Address - Country:US
Practice Address - Phone:434-947-7700
Practice Address - Fax:434-947-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty