Individual
DR. LAC K LE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26317 W. WASHINGTON ST, CENTRAL STATE HOSPITAL, PETERSBURG, VA 23803
(804) 524-7429
(804) 524-7069
Mailing address
5816 SPINNAKER COVE RD, MIDLOTHIAN, VA 23112-2127
(804) 524-7429
(804) 524-7069
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101034585
VA
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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