Organization
COMMONWEALTH GASTROENTEROLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LASNER M.D. (OWNER)
(703) 262-0200
Entity
Organization
Contact information
Practice address
4229 LAFAYETTE CENTER DR, #1000, CHANTILLY, VA 20151-1261
(703) 262-0200
Mailing address
4001 FAIR RIDGE DR, #201, FAIRFAX, VA 22033-2917
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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