Virginia Lightner Family Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

27232 Issued in NC

Legal business name

VIRGINIA LIGHTNER FAMILY DERMATOLOGY, PA

Practice address

82 Wheaton Dr
Youngsville, NC 27596-8691

Phone

(919) 562-8887

Fax

(919) 570-0211

NPI assigned

Oct 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Virginia A Lightner, MD, PHDNPI 1770557878

Title

Owner

Phone

(919) 562-8887

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia A. Lightner, M.D., PHD

  • Dermatology Physician
  • Youngsville, NC
  • NPI 1770557878
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1780773416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WHEATON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275968691",
            "telephone_number": "919-562-8887",
            "fax_number": "919-570-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WHEATON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275968691",
            "telephone_number": "919-562-8887",
            "fax_number": "919-570-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA LIGHTNER FAMILY DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "LIGHTNER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-562-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "27232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0177R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Youngsville, NC
• Providers in Youngsville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.