Individual
DR. MARIA LOURDES GARCIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
6315 N CENTER DR STE 230, NORFOLK, VA 23502-4006
(757) 461-7974
Mailing address
1464 MOUNT PLEASANT RD, UNIT 16 SUITE 309, CHESAPEAKE, VA 23322-4043
(757) 880-8969
(757) 428-0514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101241378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003144
ANTHEM
—
01
—
023529
ANTHEM BCBS
—
01
—
10036017
OPTIMA
—
01
—
1740493055
MEDICAID
—
01
—
54-0881234
CIGNA
—
01
—
CB9359
MEDICARE RAILROAD PTAN
—
01
—
CO1526
MEDICARE
—
Enumeration date
05/07/2007
Last updated
10/26/2021
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