Individual
DR. LISA D CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4687 POUNCEY TRACT ROAD, KIDMED, GLEN ALLEN, VA 23059-5802
(804) 422-5437
(804) 422-5438
Mailing address
509 WESTON CT, RICHMOND, VA 23238-5583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101050845
VA
Other
Enumeration date
07/28/2005
Last updated
10/04/2012
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