Provider Demographics
NPI:1972568137
Name:BURTON, JENNIFER ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANN
Last Name:BURTON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1922 THOMSON DR
Mailing Address - Street 2:STE D
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-1099
Mailing Address - Country:US
Mailing Address - Phone:434-845-7392
Mailing Address - Fax:434-845-1099
Practice Address - Street 1:1922 THOMSON DR
Practice Address - Street 2:STE D
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-1099
Practice Address - Country:US
Practice Address - Phone:434-845-7392
Practice Address - Fax:434-845-1099
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0102050170207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
435592OtherANTHEM BLUE CROSS BLUE SH
435592OtherANTHEM BLUE CROSS BLUE SH