Larry L Legum, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101021942 Issued in VA

Practice address

113 Coastal Way
Chesapeake, VA 23320-4603

Phone

(757) 547-9401

Fax

(757) 547-9403

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Dermatology of Tidewater LLC

  • Dermatology Physician
  • Norfolk, VA
  • NPI 1801238472
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639101256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COASTAL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204603",
            "telephone_number": "757-547-9401",
            "fax_number": "757-547-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COASTAL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204603",
            "telephone_number": "757-547-9401",
            "fax_number": "757-547-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGUM",
        "first_name": "LARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101021942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Psychological Services
• Legacy Therapeutic Solutions
• Brianna N Leggett, COTA /L
• Lisa Leggett
• David G Legrand, B.C.O.
• Cheyenne Leigh, MSW
• Sarah Elizabeth Leigh
• Victor Almeida Leite
• Michael William Lemay, AUD, CCC-A
• Kayla Lemke, PA-C

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.