Individual
DR. LUIS FAUSTINO IGNACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E LITTLE CREEK RD, 205, NORFOLK, VA 23518-4137
(757) 587-4744
(757) 587-4947
Mailing address
1206 FAIRWAY DR, CHESAPEAKE, VA 23320-9400
(757) 547-1638
(757) 549-0663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101046136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71-6051-8
—
VA
Enumeration date
02/03/2007
Last updated
03/13/2014
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