Individual
DR. LEA ANDERSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11783 ROCK LANDING DR, SUITE 202, NEWPORT NEWS, VA 23606-4431
(757) 668-6320
(757) 668-6315
Mailing address
11783 ROCK LANDING DR, SUITE 202, NEWPORT NEWS, VA 23606-4431
(757) 668-6320
(757) 668-6315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101231367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010240531
—
VA
01
—
10002260
OPTIMA
VA
01
—
188471
ANTHEM
VA
01
—
4136395
UNITED HEALTHCARE
VA
01
—
541778786
TAX ID #
VA
01
—
7755119
AETNA
VA
01
—
7758175
CIGNA
VA
01
—
8136395
MAMSI
VA
Enumeration date
05/25/2006
Last updated
09/05/2013
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