Provider Demographics
NPI:1215030457
Name:BANKS, LELIA FOSTER (DPM)
Entity Type:Individual
Prefix:DR
First Name:LELIA
Middle Name:FOSTER
Last Name:BANKS
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:6753 POPLAR WOODS CT
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1351
Mailing Address - Country:US
Mailing Address - Phone:804-932-9745
Mailing Address - Fax:804-932-9745
Practice Address - Street 1:MCGUIRE VA MEDICAL CTR
Practice Address - Street 2:1201 BROAD ROCK BLVD, PODIATRY (112H)
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:804-675-5752
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103000255213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist