Individual
LACIA ROCHELLE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
549 E BRAMBLETON AVE, NORFOLK, VA 23510-2905
(786) 530-3150
(786) 530-3150
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(786) 530-3150
(786) 530-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243389
VA
207Q00000X
Family Medicine Physician
27332
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1750482733
—
IA
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731798
—
NE
Enumeration date
09/25/2006
Last updated
11/15/2017
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