Organization
GASTRO NOVA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LASNER (PRESIDENT)
(703) 862-6615
Entity
Organization
Contact information
Practice address
5651 STONE RD, CENTREVILLE, VA 20120-1618
(571) 717-4188
(571) 717-4199
Mailing address
5651 STONE RD, CENTREVILLE, VA 20120-1618
(571) 717-4188
(571) 717-4199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
04/27/2026
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