Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 0102205912 | VA |
NPI | 1033536461 |
---|---|
Provider Name | Dr. David Jack Lecronier |
First Address | Winchester, VA 22601-2896 |
Second Address | Winchester, VA 22601-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 08/06/2021 |