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Individual

DR. DAVID LEA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
95 HARRIS DRIVE, KILMARNOCK, VA 22482
(804) 435-1661
(804) 435-0117
Mailing address
PO BOX 1449, 95 HARRIS DR, KILMARNOCK, VA 22482-1449
(804) 435-1661
(804) 435-0117

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101023906
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7572611
VA
Enumeration date
07/28/2006
Last updated
07/08/2007
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