Commonwealth Anesthesia Group LLC

NPI #1275838625 in Chantilly, Virginia

Provider Information

NPI Number: 1275838625
Entity Type: Organization
Organization Name: Commonwealth Anesthesia Group LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 17, 2011
Last Updated: Mar 6, 2014

Practice Location

Address: 3914 CENTREVILLE RD
Address 2: STE 350
City: Chantilly
State: Virginia
ZIP Code: 20151-3289
Phone: (941) 360-1566

Authorized Official

Name: LANCE LASNER, MD
Title: MEMBER
Phone: (941) 360-1566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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