Healthcare Provider Details

I. General information

NPI: 1528072220
Provider Name (Legal Business Name): MICHAEL WILLIAM LEMAY AUD, CCC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 INDEPENDENCE PKWY STE 100
CHESAPEAKE VA
23320-5197
US

IV. Provider business mailing address

500 INDEPENDENCE PKWY STE 100
CHESAPEAKE VA
23320-5197
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-9714
  • Fax: 757-547-0725
Mailing address:
  • Phone: 757-547-9714
  • Fax: 757-547-0725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201000503
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: