Provider Demographics
NPI:1033191077
Name:LENOX, DAPHNE MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:MICHELLE
Last Name:LENOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 WESTOVER AVE
Mailing Address - Street 2:301
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-2313
Mailing Address - Country:US
Mailing Address - Phone:757-493-3978
Mailing Address - Fax:601-703-3264
Practice Address - Street 1:134 BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6523
Practice Address - Country:US
Practice Address - Phone:757-473-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18515207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
731-04078OtherBLUE CROSS OF AL
MS05208370Medicaid
P00158405OtherRAILROAD MEDICARE
VAP00386571OtherMEDICARE
VAP00388645OtherMEDICARE
P00158405OtherRAILROAD MEDICARE