Individual
IRA ROBERT LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3921 GRANBY ST, SUITE A, NORFOLK, VA 23504-1201
(757) 583-5826
(757) 588-2712
Mailing address
3921 GRANBY ST, SUITE A, NORFOLK, VA 23504-1201
(757) 583-5826
(757) 588-2712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101016600
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010137225
—
VA
01
—
172820
BLUE CROSS
VA
Enumeration date
07/30/2006
Last updated
02/13/2014
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