Commonwealth Gastroenterology, Plc

NPI #1003188483 in Chantilly, Virginia

Provider Information

NPI Number
1003188483
Entity Type
Organization
Organization Name
Commonwealth Gastroenterology, Plc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Feb 1, 2012
Last Updated
Feb 1, 2012

Practice Location

Address
4229 LAFAYETTE CENTER DR
Address 2
#1000
ZIP Code
20151-1261
Phone
(703) 262-0200

Authorized Official

Name
LANCE LASNER, M.D.
Title
OWNER
Phone
(703) 262-0200

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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