Dr. Leon Ismael Smith-Harrison II, MD
Family Medicine in Norfolk, VA. Individual provider (NPI-1).
NPI number1982194122
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1982194122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leon Ismael Smith-Harrison II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2018
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101279047 | VA | Yes |
Practice location
155 Kingsley Ln Ste 400Norfolk, VA 23505-4629
Phone 757-278-2240
Mailing address
1341 Westmoreland AveNorfolk, VA 23508-1320
Phone 361-813-8131
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