Provider Demographics
NPI:1104275312
Name:RYLAND LETHBRIDGE, BLAIR MCCLINTOCK (DO)
Entity type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:MCCLINTOCK
Last Name:RYLAND LETHBRIDGE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2632 SALEM CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-6484
Mailing Address - Country:US
Mailing Address - Phone:540-899-3440
Mailing Address - Fax:540-899-3434
Practice Address - Street 1:2632 SALEM CHURCH RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407
Practice Address - Country:US
Practice Address - Phone:540-899-3440
Practice Address - Fax:540-899-3434
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2022-01-09
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Provider Licenses
StateLicense IDTaxonomies
VA0102205532208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics