Provider Demographics
NPI:1467414995
Name:LESHER, KATRINA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:LESHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 GRESHAM DR STE 800
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1901
Mailing Address - Country:US
Mailing Address - Phone:757-668-9915
Mailing Address - Fax:757-668-9925
Practice Address - Street 1:400 GRESHAM DR STE 800
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1901
Practice Address - Country:US
Practice Address - Phone:757-668-9915
Practice Address - Fax:757-668-9925
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1067592081P0010X
VA01012333952081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCIGNA
VAPAROtherTRICARE/CHAMPUS
NC03549OtherNC BC/BS
VAPAROtherVIRGINIA PREMIER HEALTH
VA10008177OtherSENTARA/DAY REHAB
VAPAROtherFIRST HEALT COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA010342724Medicaid
VAPAROtherUSA MANAGED CARE
VA196673OtherANTHEM
3147010OtherUHC/MAMSI
NC5903549Medicaid
VAPAROtherAETNA
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN
VA10008176OtherSENTARA/PHY MED
VAPAROtherAETNA
VAPAROtherUSA MANAGED CARE
VAPAROtherMULTIPLAN
VA10008177OtherSENTARA/DAY REHAB
VA010342724Medicaid