# CENTER FOR ADVANCED LIPID MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538459219
- **Authorized official:** DR. GEORGE CHACONAS M.D. (PRESIDENT)
- **Authorized official phone:** (540) 588-7115

## Contact information

- **Practice address:** 4806 PLEASANT HILL DR, SUITE 201, ROANOKE, VA 24018-3441
- **Practice address phone:** (540) 588-7115
- **Mailing address:** 38 PEAKS VIEW DR, MONETA, VA 24121-2566
- **Mailing address phone:** (540) 588-7115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0101038267 | VA | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011