Lac K Le, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101034585 Issued in VA

Practice address

26317 W. Washington St
Central State Hospital
Petersburg, VA 23803

Phone

(804) 524-7429

Fax

(804) 524-7069

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760460265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 SPINNAKER COVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122127",
            "telephone_number": "804-524-7429",
            "fax_number": "804-524-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26317 W. WASHINGTON ST",
            "address_2": "CENTRAL STATE HOSPITAL",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-524-7429",
            "fax_number": "804-524-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LAC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101034585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Michael Lassiter, LPC
• Laura Ann Lavold, FNP-BC
• Nikki Y Lawrence Smith, PH.D
• David S Lawson
• Katherine Ann Laybourn, MD
• Thu Le
• Leap of Faith Adult Services LLC
• Shani Gabrielle Lee-Johnson, R.N.
• Ashley Jihui Lee
• Gernita Lazale Lee, D.N.P.

• General Practice Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.