Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrated Wound Care Virginia PLLC

Organization General Practice Physician · NPI 1407498397

Integrated Wound Care Virginia PLLC is a General Practice Physician in Roanoke, Virginia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

324 King George Ave SW
Roanoke, VA 24016-5213
Phone: (201) 870-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1407498397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Lusas — Member · (732) 451-4318
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address492 Cedar Ln Ste 514, Teaneck, NJ 07666-1713

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