Individual
NIKOLA ALEXANDER LETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
826 DAVIS ST, BLACKSBURG, VA 24060-7010
(540) 443-0500
(540) 553-0526
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102204905
VA
207V00000X
Obstetrics & Gynecology Physician
2015-00756
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2011
Last updated
05/20/2019
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