Brooks, Lagora A. Oliver

Brooks, Lagora A. Oliver is an individual health care provider with primary practice located at 2301 General Booth Blvd Ste B, Virginia Beach VA 23456-7755. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brooks, Lagora A. Oliver can be contacted via phone (757) 963-5500.

Contact Information

Primary practice address
2301 General Booth Blvd Ste B Virginia Beach VA 23456-7755
Phone: (757) 963-5500
Fax: (757) 275-9907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101234783 Virginia

Profile Details

NPI number 1548255144
LBN Legal business name Brooks, Lagora A. Oliver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548255144 NPPES
Virginia MEDICAID 010090865

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