Healthcare Provider Details

I. General information

NPI: 1285667360
Provider Name (Legal Business Name): LORNEL G TOMPKINS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W LEIGH STREET SUITE 207
RICHMOND VA
23220
US

IV. Provider business mailing address

505 W LEIGH STREET SUITE 207
RICHMOND VA
23220
US

V. Phone/Fax

Practice location:
  • Phone: 804-788-0556
  • Fax: 804-788-1141
Mailing address:
  • Phone: 804-788-0556
  • Fax: 804-788-1141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101037059
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: