Tracy L Leonard in Virginia Beach - Medical

Tracy L Leonard - NPI 1801930169

Tracy L Leonard is a Medical in Virginia Beach, Virginia. Tracy L Leonard practices all healthcare services and medical treatments related to Medical. The NPI Number for Tracy L Leonard is 1801930169. The last update date is 2013-07-24.

Tracy L Leonard's current location address is 1380 Tuscany Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7573019200 and fax number 7573019214. The mailing address for Tracy L Leonard is 1380 Tuscany Dr, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy L Leonard
Address 1380 Tuscany Dr, Virginia Beach, Virginia
Phone Number 7573019200
Fax Number 7573019214
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1801930169
Provider Enumeration Date 2007-02-19
Last Updated Date 2013-07-24

Provider Mailing Address Detail

Address 1380 Tuscany Dr
City Virginia Beach
State Virginia (VA)
Post Code 234567751
Phone Number 7573019200
Fax Number 7573019214

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 110002438
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
541870680 VA ORGANIZATOIN TAX ID
541398620 VA ORGANIZATION TAX ID
110002438 VA STATE LICENSE

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FAQs about Tracy L Leonard

What is the unique identification code assigned to Tracy L Leonard by the Centers for Medicare & Medicaid Services?

The Tracy L Leonard has been issued the NPI (National Provider Identifier) 1801930169. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Tracy L Leonard is physically located?

The Tracy L Leonard is physically situated at the following address: 1380 Tuscany Dr, Virginia Beach, VA, 234567751.

What is Tracy L Leonard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tracy L Leonard is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did Tracy L Leonard receive its 1801930169 assignment from the Centers for Medicare & Medicaid Services?

The Tracy L Leonard was assigned its 1801930169 on 2007-02-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Tracy L Leonard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracy L Leonard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-24.

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