Individual provider · Type 1 NPI

Michael Shane Fitzgibbons, DO

Military Health Care Provider · Lynchburg, VA

NPI number 1467256594 Active

Practice location

306 Liberty View Ln
Lynchburg, VA 24502-2291

Mailing address

7 Windswept Cir
Brewster, NY 10509-4900

Other practice locations

  • 1120 15th St, Augusta, GA 30912-0004 · (706) 721-4951

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X112703 (GA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

328 other providers at this address

About NPI 1467256594

Michael Shane Fitzgibbons, DO's National Provider Identifier is 1467256594, issued on Apr 1, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Lynchburg, VA. The record was last updated on Jun 11, 2026.