Individual
LAWRENCE GENE LEICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 E KILN CREEK PARKWAY, NEWPORT NEWS, VA 23602-9700
(757) 425-1969
(757) 425-1822
Mailing address
PO BOX 4548, VIRGINIA BEACH, VA 23454-0548
(757) 425-1969
(957) 425-1822
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
0101042384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6027571
—
VA
01
—
890548P
MEDICAID
NC
Enumeration date
08/10/2006
Last updated
07/08/2007
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