Individual
MR. ROBERT LAWRENCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 FIRST COLONIAL RD, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, VIRGINIA BEACH, VA 23454-3002
(757) 395-8000
(757) 395-8653
Mailing address
2876 GUARDIAN LANE, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
0101016010
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101016010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013175
PRIORITY
VA
01
—
270756
MPIPA OPTIMA CHOICE ALLIA
VA
01
—
35158
SENTARA
VA
05
—
6656315
—
VA
05
—
890686E
—
NC
Enumeration date
04/19/2006
Last updated
03/06/2008
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