Organization
EAR, NOSE & THROAT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE LAGO (ADMINISTRATOR)
(757) 623-0526
Entity
Organization
Contact information
Practice address
901 HAMPTON BLVD, NORFOLK, VA 23507-1503
(757) 623-0526
(757) 636-9090
Mailing address
901 HAMPTON BLVD, NORFOLK, VA 23507-1503
(757) 623-0526
(757) 636-9090
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101038741
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006555071
—
VA
Enumeration date
05/27/2015
Last updated
05/27/2015
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