NPI 1447270343

Matthew Lucas Coakley

Practitioner Other Technician Portsmouth, VA

Practice location

Address: 4000 Coast Guard Blvd Isc Portsmouth Hsdiv, Portsmouth, VA 23703
Phone: (757) 483-8596
Mailing address: 401 Oak Lake Way APT D, Chesapeake, VA 23320-9386

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Virginia →

Registry record

NPI: 1447270343
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.