Individual
DR. LANCE SCOTT CHARLTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1652 MITSCHER AVE STE 250, NORFOLK, VA 23551-0001
(757) 322-6040
Mailing address
1652 MITSCHER AVE STE 250, NORFOLK, VA 23551-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0101279639
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2022
Last updated
01/05/2025
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