| Lei S. Charlton, M.d., P.c. | |
|
1122 N 25th St Suite A Richmond VA 23223-5254 | |
| (804) 649-1277 | |
| (804) 649-1026 |
| Full Name | Lei S. Charlton, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1122 N 25th St, Richmond, Virginia |
| Authorized Official Name and Position | Lei S Charlton (DIRECTOR) |
| Authorized Official Contact | 8046491277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lei S. Charlton, M.d., P.c. 1122 N 25th St Suite A Richmond VA 23223-5254 Ph: (804) 649-1277 | Lei S. Charlton, M.d., P.c. 1122 N 25th St Suite A Richmond VA 23223-5254 Ph: (804) 649-1277 |
| NPI Number | 1962716928 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/02/2010 |
| Medicare PECOS PAC ID | 7315131265 |
|---|---|
| Medicare Enrollment ID | O20101104000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962716928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101036378 (Virginia) | Primary |
| Provider Name | Lei S Charlton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427146133 PECOS PAC ID: 4880781293 Enrollment ID: I20071101000474 |
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