DEXTER LAMAR RAYSOR SOIDC NPI 1215247010

NPI Information

NPI: 1215247010
Provider Name: DEXTER LAMAR RAYSOR, SOIDC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
402 JACKSON ST
SUFFOLK, VA
ZIP 23434
Phone: (757) 539-3730
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Dexter Lamar Raysor, SOIDC is a medical physician assistant in Suffolk, VA. Dexter Lamar Raysor, SOIDC NPI is 1215247010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

402 JACKSON ST
SUFFOLK, VA
ZIP 23434-315
Phone: (757) 539-3730

The enumeration date for this NPI number is 10/14/2010 and was last updated on 10/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic			GEORGIA	No
2	363AM0700X	Physician Assistant	Medical		NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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