Provider Demographics
NPI:1427035526
Name:AIGNER, LYNE B (MD)
Entity type:Individual
Prefix:DR
First Name:LYNE
Middle Name:B
Last Name:AIGNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:319 HOSPITAL DR
Mailing Address - Street 2:STE 107
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1948
Mailing Address - Country:US
Mailing Address - Phone:276-666-7865
Mailing Address - Fax:276-634-4970
Practice Address - Street 1:180 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1318
Practice Address - Country:US
Practice Address - Phone:540-484-4800
Practice Address - Fax:540-489-6524
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-042059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005618720Medicaid
VA5640431Medicaid
VA017857C18Medicare PIN
F07247Medicare UPIN
080008059Medicare PIN
VA005618720Medicaid