Individual
AUBREY LEON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
6320 N CENTER DR, 201, NORFOLK, VA 23502-4009
(757) 892-5300
(757) 892-5303
Mailing address
6320 N CENTER DR, 201, NORFOLK, VA 23502-4009
(757) 892-5300
(757) 892-5303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO 003925
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0482P
BCBS OF NORTH CAROLINA
—
01
—
384410
BCBS OF VIRGINIA
—
05
—
7701327
—
NC
01
—
9190511
VIRGINIA PREMIER
—
Enumeration date
12/26/2007
Last updated
04/08/2014
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