Individual
DR. LERLA GEORGETTE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
849 S SYCAMORE ST STE A, PETERSBURG, VA 23803-5801
Mailing address
921 HULL ST, RICHMOND, VA 23224-4069
(804) 230-4913
(800) 609-6810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036044
VA
207R00000X
Internal Medicine Physician
010136044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000101256
CIGNA
VA
01
—
055645
BLUE CROSS BLUE SHIELD
VA
05
—
6063802
—
VA
Enumeration date
06/06/2006
Last updated
03/08/2024
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