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

Liberty University, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1689296360

Liberty University, Inc provides Sports Medicine (Family Medicine) Physician services 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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