Lesley-Anne Phu

Primary specialty

DentistTaxonomy code 122300000X

License

0401416259 Issued in VA

Practice address

2040 Coliseum Dr # A27
Hampton, VA 23666-3200

Phone

(757) 262-0020

NPI assigned

Aug 13, 2018

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1851870596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COLISEUM DR # A27",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663200",
            "telephone_number": "757-262-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 W Bay To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336296606",
            "country_code": "US",
            "telephone_number": "813-837-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHU",
        "first_name": "LESLEY-ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoa Quang Phan
• Arisa Phelps, RBT
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• Christopher Devon Phillips, TAXI
• Melvin Phillips, LCSW
• Marianna Lovick Pierce, FNP-C
• Steven Todd Pietruszynski, M.D.
• Michael Thomas Pigford II, PHARMD
• Katherine Jean Pike, RBT
• Teresa Denise Piles-Horton, LNP

• Dentist in Hampton, VA
• Providers in Hampton, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.