Nonna Lyn M Ebalo
MD | Pediatrics | Female
Nonna Lyn M Ebalo, MD is a South Boston, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nonna Lyn M Ebalo is
2212 Wilborn Ave, South Boston, Virginia - 24592-1630. She can be contacted on phone at
434-572-8921 and fax number 434-572-2063.
Nonna Lyn M Ebalo is a sole proprietor of her business.
NPI number (Unique professional ID) for Nonna Lyn M Ebalo is
1861472524 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 24 Sep, 2012.
Nonna Lyn M Ebalo license number is
0101232220 for Pediatrics (208000000X) in Virginia.
Nonna Lyn M Ebalo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nonna Lyn M Ebalo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nonna Lyn M Ebalo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nonna Lyn M Ebalo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2212 Wilborn Ave
South Boston, VA, 24592-1630
United States |
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| Phone Number : | 434-572-8921 |
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| Fax Number : | 434-572-2063 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861472524 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jan, 2006 |
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| Last Updated On : | 24 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nonna Lyn M Ebalo are as mentioned. Primary taxonomy code for Nonna Lyn M Ebalo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | C51721 | CA |
| 208000000X | Pediatrics | Yes | 0101232220 | VA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2212 Wilborn Ave
South Boston, VA, 24592-1630
United States |
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| Phone Number : | 434-572-8921 |
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| Fax Number : | 434-572-2063 |
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Business Location:
Patients can refer following map for directions to
Nonna Lyn M Ebalo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.