Provider Demographics
NPI:1275548695
Name:VIENNAS, LAMBROS KONSTANTINOS (MD)
Entity type:Individual
Prefix:DR
First Name:LAMBROS
Middle Name:KONSTANTINOS
Last Name:VIENNAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-8566
Mailing Address - Fax:614-293-3381
Practice Address - Street 1:301 RIVERVIEW AVE STE 400
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1065
Practice Address - Country:US
Practice Address - Phone:757-252-1700
Practice Address - Fax:757-431-7775
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD47480174400000X
VA01012452172086S0122X
OH35144123208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10045252OtherSENTARA OPTIMA HEALTH
VA368106OtherANTHEM (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA HEALTH NETWORK
VA-019OtherTRICARE/CHAMPUS (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCIGNA (EVMS HEALTH SERVICES)
VA1275548695Medicaid
VAPAROtherCORVEL/CORCARE (EVMS HEALTH SERVICES)
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VAPAROtherUNITED HEALTH CARE
VAPAROtherAETNA (EVMS HEALTH SERVICES)
NC5911765Medicaid
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherMULTIPLAN (EVMS HEALTH SERVICES)
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VA10045252OtherSENTARA OPTIMA HEALTH
VAPAROtherVIRGINIA HEALTH NETWORK