Individual
DR. RAYMOND C LACKORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 FIRST COLONIAL RD STE 100, VIRGINIA BEACH, VA 23454-2409
(757) 481-3366
(757) 496-3889
Mailing address
1101 FIRST COLONIAL RD, SUITE 100, VIRGINIA BEACH, VA 23454-2409
(757) 481-3366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101036490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006230610
—
VA
01
—
1447336094
NPI
VA
Enumeration date
10/27/2006
Last updated
12/17/2020
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