Individual
LANCE CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 ELDEN ST, STE 250, HERNDON, VA 20170-4861
(703) 435-0090
Mailing address
1502 KINGSTREAM CIR, HERNDON, VA 20170-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305002239
LICENSE #
VA
Enumeration date
08/23/2006
Last updated
07/08/2007
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