LAWRENCE GENE LEICHTMAN


Address: 1405 E Kiln Creek Parkway, Newport News, VA 23602-9700
Phone: 7574251969

LAWRENCE GENE LEICHTMAN (NPI# 1932110855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932110855
Entity Type Individual
Full Name LAWRENCE GENE LEICHTMAN
Credential MD
Practice Address 1405 E Kiln Creek Parkway
Newport News
VA 23602-9700
Mailing Address Po Box 4548
Virginia Beach
VA 23454-0548
Practice Telephone 7574251969
Practice Fax Number 7574251822
Mailing Telephone 7574251969
Mailing Fax Number 9574251822
Enumeration Date 2006-08-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
0101042384 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICAID 890548P 01
VA 6027571 05

Office Location

Street Address 1405 E KILN CREEK PARKWAY
City NEWPORT NEWS
State VA
Zip Code 23602-9700

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1962870733 Natalie Marie Bradshaw-smith Nurse Practitioner 401 Oyster Point Rd Ste A, Newport News, VA 23602 2015-09-09
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Taxonomy Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659863025 Ozlem Goker-alpan Md LLC Medical Genetics 11212 Waples Mill Rd Ste 103, Fairfax, VA 22030-7404 2018-06-01
1528243870 Richard C. Taylor Medical Genetics 9110 N Arch Village Ct, Suite F, North Chesterfield, VA 23236-3456 2008-01-07
1831403211 Hind Al Saif Medical Genetics 1000 E Broad St, Richmond, VA 23219 2010-07-28
1164733960 Marta Biderman Waberski Medical Genetics 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 2010-06-25
1689800401 Kelly Lynne Jones Medical Genetics 601 Childrens Ln, Norfolk, VA 23507-1910 2009-06-08
1013168673 Samantha Alexandra Vergano Medical Genetics 601 Childrens Ln, Division of Medical Genetics and Metabolism, Norfolk, VA 23507-1910 2008-10-01
1609033208 Benjamin Solomon Medical Genetics 3300 Gallows Rd, Claude Moore Building, 2nd Floor, Falls Church, VA 22042-3307 2008-05-21
1669681094 Jennifer B Humberson Medical Genetics 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 2007-05-22
1154482727 Walter E Nance Medical Genetics 1250 E Marshall St, Human Genetics, Richmond, VA 23298-5051 2006-12-13
1457410656 Natalie Susan Hauser Medical Genetics 3300 Gallows Rd, Claude Moore Bldg 2nd Floor, Falls Church, VA 22042-3307 2006-12-06
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Competitor

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City NEWPORT NEWS
Zip Code 23602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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