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

Individual provider Physician Assistant · NPI 1790295715

Indre Lithyouvong, PA-C is a Physician Assistant in Lynchburg, Virginia. Qualified in 2017, 9 years ago. Practices with Blue Ridge E N T and P S Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2321 Atherholt Rd
Lynchburg, VA 24501-2113
Phone: (434) 947-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110-005957 (VA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 0110-005957 (VA)

Record details

NPI number1790295715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Blue Ridge E N T And P S Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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