Provider Demographics
NPI:1669663209
Name:KRAWIEC, MELISSA SUSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SUSAN
Last Name:KRAWIEC
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:SUSAN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:448 INSTITUTE HL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2149
Mailing Address - Country:US
Mailing Address - Phone:340-464-7218
Mailing Address - Fax:340-464-7707
Practice Address - Street 1:448 INSTITUTE HL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2149
Practice Address - Country:US
Practice Address - Phone:540-464-7218
Practice Address - Fax:540-464-7707
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1948207Q00000X
VA0102207226207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine