Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Legare, RSA

Individual provider Surgical Assistant · NPI 1710318597

Edward Legare, RSA is a Surgical Assistant in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

4656 Larkwood Dr
Virginia Beach, VA 23464-5817
Phone: (757) 353-9603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (VA)
Surgical Assistant Taxonomy 246ZC0007X · Licence 0136000017 (VA)

Record details

NPI number1710318597
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA
Sole proprietorYes
NPI enumeratedDecember 4, 2013
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023
Mailing address4656 Larkwood Dr, Virginia Beach, VA 23464-5817

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