Joseph, Lerla Georgette
Joseph, Lerla Georgette is an individual health care provider with primary practice located at 849 S Sycamore St Ste A , Petersburg VA 23803-5801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty.Contact Information
Primary practice address
849 S Sycamore St Ste A
Petersburg VA 23803-5801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 010136044 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101036044 | Virginia |
Profile Details
| NPI number | 1326087875 |
|---|---|
| LBN Legal business name | Joseph, Lerla Georgette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326087875 | NPPES |
| Virginia | Other | 000101256 | CIGNA |
| Virginia | Other | 055645 | CIGNA |
| Virginia | MEDICAID | 6063802 | CIGNA |
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