Individual
LEIGH A. LATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-2301
(434) 244-9478
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101055434
VA
208000000X
Pediatrics Physician
0101055434
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1138T
BCBS NC
NC
05
—
891138T
—
NC
Enumeration date
09/01/2005
Last updated
08/10/2023
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