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Individual

LELAND D WHITELOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
560 KEMPSVILLE RD, SUITE 100, CHESAPEAKE, VA 23320-3621
(757) 410-9500
(757) 410-9507
Mailing address
560 KEMPSVILLE RD, SUITE 100, CHESAPEAKE, VA 23320-3621
(757) 410-9500
(757) 410-9507

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101019576
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010027233
VA
05
8906917
NC
Enumeration date
03/20/2006
Last updated
04/23/2013
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