Individual
LANCE DAVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
844 KEMPSVILLE RD STE 104, NORFOLK, VA 23502-3927
(757) 252-5600
(757) 226-0157
Mailing address
844 KEMPSVILLE RD STE 104, NORFOLK, VA 23502-3927
(757) 252-5600
(757) 226-0157
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101046122
VA
207XS0106X
Orthopaedic Hand Surgery Physician
046122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006405771
—
VA
01
—
400000649
RAILROAD MEDICARE
—
01
—
C00102
MEDICARE GROUP LEGACY NUM
—
01
—
CC7688
RAILROAD MEDICARE GROUP#
—
Enumeration date
01/03/2006
Last updated
02/17/2022
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