Individual
LORI SUMERFORD SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2088 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-4014
(757) 668-6700
(757) 668-6680
Mailing address
2088 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456-4014
(757) 668-6700
(757) 668-6680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002308
VA
363A00000X
Physician Assistant
1813
TN
363AM0700X
Medical Physician Assistant
0110002308
VA
363AS0400X
Surgical Physician Assistant
0110002308
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164518254
—
VA
Enumeration date
10/05/2006
Last updated
09/17/2025
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