IWC SERVICES VIRGINIA PLLC – NPI #1790620722
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

IWC SERVICES VIRGINIA PLLC is a provider located in BRISTOL, VA. NPPES recently assigned the NPI number 1790620722 to IWC SERVICES VIRGINIA PLLC on April 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Apr 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IWC SERVICES VIRGINIA PLLC below.

NPI Profile for
IWC SERVICES VIRGINIA PLLC

NPI Number
1790620722
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IWC SERVICES VIRGINIA PLLC
Primary location
301 VILLAGE CIR
BRISTOL, VA 24201-8302
Phone: (732) 451-4318 Fax:
Mailing address
492C CEDAR LN STE 514
TEANECK, NJ 07666-1713
Phone: Fax:
Organization Subpart
No
Authorized Official
DIANE LUSAS
OWNER
Phone: (732) 451-4318
Updated
Certification Date
Apr 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.