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

Liberty University, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1689296360

Liberty University, Inc is a Sports Medicine (Family Medicine) Physician in Lynchburg, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1971 University Blvd
Lynchburg, VA 24515-0002
Phone: (434) 582-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1689296360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Lucs Sports Medicine
NPI enumeratedMay 15, 2020
Last updated in NPPESMay 15, 2020
Certification dateMay 15, 2020
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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