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Individual

DR. C. WAYNE LANKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2425 TAYLOR RD, CHESAPEAKE, VA 23321
(757) 215-1800
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28058
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50922
BLUE CROSS BLUE SHIELD NC
NC
01
6889
PARTNERS MEDICARE CHOICE
NC
05
89-0239J
NC
Enumeration date
03/24/2006
Last updated
02/25/2015
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