Provider Demographics
NPI:1528158706
Name:SOMNER, LILLIAN (DO,)
Entity type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:
Last Name:SOMNER
Suffix:
Gender:F
Credentials:DO,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 GLENDALE RD
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2208
Mailing Address - Country:US
Mailing Address - Phone:276-236-0179
Mailing Address - Fax:276-238-3561
Practice Address - Street 1:500 GLENDALE RD
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2208
Practice Address - Country:US
Practice Address - Phone:276-236-0179
Practice Address - Fax:276-238-3561
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01020371172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry