Provider Demographics
NPI:1285742502
Name:LEXIER, LENARD J (MD)
Entity type:Individual
Prefix:
First Name:LENARD
Middle Name:J
Last Name:LEXIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:825 CRAWFORD PKWY
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-2301
Mailing Address - Country:US
Mailing Address - Phone:757-391-6562
Mailing Address - Fax:
Practice Address - Street 1:THE PINES RESIDENTAL TREATMENT CENTER
Practice Address - Street 2:301 FORT LANE
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704
Practice Address - Country:US
Practice Address - Phone:757-391-6562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2125592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB60154Medicare UPIN