Individual
SUSAN M LONTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 KINGS WAY, SUITE 3400, WILLIAMSBURG, VA 23185-2505
(757) 253-5600
(757) 253-0819
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101046820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376650309
—
VA
Enumeration date
08/24/2006
Last updated
05/12/2011
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