Larry L Legum MD Ltd

NPI #1003117201 in Chesapeake, Virginia

Provider Information

NPI Number: 1003117201
Entity Type: Organization
Organization Name: Larry L Legum MD Ltd
Subpart: Yes (part of a larger organization)
Parent Organization: LARRY L LEGUM MD LTD
Primary Specialty: Dermatology
Enumeration Date: Nov 4, 2010
Last Updated: Nov 4, 2010

Practice Location

Address: 113 COASTAL WAY
City: Chesapeake
State: Virginia
ZIP Code: 23320-4603
Phone: (757) 547-9401

Authorized Official

Name: DR. LARRY L LEGUM
Title: PRESIDENT
Phone: (757) 547-9401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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