Organization
SHALLORTHO
Active
Other names
SHALLORTHO, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE SHALL MD (PROVIDER)
(757) 762-3582
Entity
Organization
Contact information
Practice address
637 KINGSBOROUGH SQ STE D, CHESAPEAKE, VA 23320-4944
(757) 762-3582
(757) 664-9930
Mailing address
4545 COMMERCE ST UNIT 2606, VIRGINIA BEACH, VA 23462-3283
(757) 762-3582
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
09/12/2025
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