Individual
LAUREN GISELLE DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 COLISEUM DR STE 280A, HAMPTON, VA 23666-5974
(757) 827-2400
Mailing address
1130 GLADSTONE BLVD, ENGLEWOOD, FL 34223-1926
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101282726
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/29/2024
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