Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 48549-020 | WI |
NPI | 1033283593 |
---|---|
Provider Name | Dr. Leslie E Torbert |
First Address | Norfolk, VA 23507-1515 |
Second Address | Norfolk, VA 23507-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 06/05/2021 |