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NPI Code Detail

MEDICARE: DAVID W LEFFKE M.D.

MEDICARE: DAVID W LEFFKE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician0101030909VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053405787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W LEFFKE M.D.
Provider Business Mailing Address
First Line : 2542 LANGHORNE RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1602
Country : US
Telephone Number : 434-947-5297
Fax Number : 434-947-5371
Provider Business Practice Location Address
First Line : 2542 LANGHORNE RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1602
Country : US
Telephone Number : 434-947-5297
Fax Number : 434-947-5371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 10/03/2007

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Directions to “ DAVID W LEFFKE M.D.” Practice Location

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