Organization
COMMONWEALTH ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LASNER MD (MEMBER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
3914 CENTREVILLE RD, STE 350, CHANTILLY, VA 20151-3289
(941) 360-1566
(941) 358-9818
Mailing address
6094 14TH ST W, STE 168, BRADENTON, FL 34207-4104
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/17/2011
Last updated
03/06/2014
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