Individual
MR. LINCOLN CHASTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 TOWN CENTER PKWY STE 400, RESTON, VA 20190-3300
(703) 810-5202
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008546
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/28/2022
Last updated
05/06/2022
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