Individual
LAWRENCE M. SHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
733 VOLVO PKWY, SUITE # 300, CHESAPEAKE, VA 23320-1609
(757) 321-3383
(757) 321-3332
Mailing address
637 KINGSBOROUGH SQ STE D, CHESAPEAKE, VA 23320-4944
(757) 762-3582
(757) 664-9930
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101040335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006496997
—
VA
01
—
200030046
RAILROAD MEDICARE
—
01
—
C00101
MEDICARE LEGACY GROUP
—
01
—
CC7688
RAILROAD MEDICARE GROUP#
—
Enumeration date
01/03/2006
Last updated
09/12/2025
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