Individual
DR. ISAAC LEAKE WORNOM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101043924
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009999558
—
VA
Enumeration date
06/18/2006
Last updated
11/28/2018
Update your record
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