Provider Demographics
NPI:1922270347
Name:VILLALOBOS, ANNA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:VILLALOBOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 MEMORIAL AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2661
Mailing Address - Country:US
Mailing Address - Phone:434-200-5200
Mailing Address - Fax:434-200-5213
Practice Address - Street 1:2323 MEMORIAL AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2661
Practice Address - Country:US
Practice Address - Phone:434-200-5200
Practice Address - Fax:434-200-5213
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101255743207Q00000X
IDMC-0124207Q00000X
NV18364207Q00000X
IAMD-45721207Q00000X
MN64696207Q00000X
WAMD60908477207Q00000X
AZ57513207Q00000X
MEMD22683207Q00000X
UT11024386-1205207Q00000X
SD11405207Q00000X
ND16019207Q00000X
COCDRH.0056481207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine