Individual
MR. DAVID G LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
3800 POPLAR HILL RD, SUITE E, CHESAPEAKE, VA 23321-5518
(757) 484-4900
(757) 673-4722
Mailing address
3800 POPLAR HILL RD, SUITE E, CHESAPEAKE, VA 23321-5518
(757) 484-4900
(215) 496-1307
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196810
ANTHEM HEALTH KEEPERS/BC
VA
Enumeration date
05/21/2007
Last updated
11/12/2007
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