Lackore, Raymond C
Lackore, Raymond C is an sole proprietor health care provider with primary practice located at 1101 First Colonial Rd Ste 100 , Virginia Beach VA 23454-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lackore, Raymond C can be contacted via phone (757) 481-3366.Contact Information
Primary practice address
1101 First Colonial Rd Ste 100
Virginia Beach VA 23454-2409
Phone: (757) 481-3366
Fax: (757) 496-3889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101036490 | Virginia |
Profile Details
| NPI number | 1447336094 |
|---|---|
| LBN Legal business name | Lackore, Raymond C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Dec 17th, 2020 - about 6 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 | 1447336094 | NPPES |
| Virginia | Other | 1447336094 | NPI |
| Virginia | MEDICAID | 006230610 | NPI |
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