Individual
LAWRENCE GENE LEICHTMAN
Active
Individual
LAWRENCE GENE LEICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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