Organization
LARRY L LEGUM MD LTD
Active
Parent organization
LARRY L LEGUM MD LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LARRY L LEGUM MD LTD
Authorized official
DR. LARRY L LEGUM (PRESIDENT)
(757) 547-9401
Entity
Organization
Contact information
Practice address
113 COASTAL WAY, CHESAPEAKE, VA 23320-4603
(757) 547-9401
Mailing address
113 COASTAL WAY, CHESAPEAKE, VA 23320-4603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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