| Commonwealth Gastroenterology, Plc | |
|
4229 Lafayette Center Dr #1000 Chantilly VA 20151-1261 | |
| (703) 262-0200 | |
| Not Available |
| Full Name | Commonwealth Gastroenterology, Plc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4229 Lafayette Center Dr, Chantilly, Virginia |
| Authorized Official Name and Position | Lance Lasner (OWNER) |
| Authorized Official Contact | 7032620200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Gastroenterology, Plc 4001 Fair Ridge Dr #201 Fairfax VA 22033-2917 Ph: () - | Commonwealth Gastroenterology, Plc 4229 Lafayette Center Dr #1000 Chantilly VA 20151-1261 Ph: (703) 262-0200 |
| NPI Number | 1003188483 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003188483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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