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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336595685

Dustin Shane Syvertson, MD is a Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1914 Thomson Dr
Lynchburg, VA 24501-1009
Phone: (434) 947-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Bbb Cb # 7525, Chapel Hill, NC 27599-7525 — (304) 237-8234

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 0101271678 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336595685
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021

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