Individual provider · Type 1 NPI

William Alexander Tidwell, LUCOM MED STUDENT

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1619762895 Active

Practice location

Lucom 306 Liberty View Lane
Lynchburg, VA 24502

Call (434) 592-6400 Map

Mailing address

1600 Wards Ferry Rd Apt 706
Lynchburg, VA 24502-6401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619762895

William Alexander Tidwell, LUCOM MED STUDENT's National Provider Identifier is 1619762895, issued on Apr 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Apr 10, 2025.