Individual
DR. LAURA ISENHOUR LEVERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1009 HILLPOINT BLVD N, SUFFOLK, VA 23434-8470
(757) 668-2250
(757) 668-2255
Mailing address
1009 HILLPOINT BLVD N, SUFFOLK, VA 23434-8470
(757) 668-2250
(757) 668-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101053635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676037
—
VA
01
—
228113
ANTHEM
VA
01
—
5018473
AETNA
VA
01
—
541778786
UNITED HEALTH CARE
VA
01
—
541778786023
TRICARE
VA
01
—
541778786663
CIGNA
VA
01
—
54556
OPTIMA
VA
05
—
790558T
—
NC
01
—
878410
MAMSI/MDIPA
VA
Enumeration date
06/27/2006
Last updated
06/21/2023
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