Organization
ACCUSCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA L LILLY (PRESIDENT)
(757) 773-8120
Entity
Organization
Contact information
Practice address
900 PRISCILLA LN, CHESAPEAKE, VA 23322-3735
(757) 773-8120
(757) 546-0653
Mailing address
900 PRISCILLA LN, CHESAPEAKE, VA 23322-3735
(757) 773-8120
(757) 546-0659
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
71736
OH
2471S1302X
Sonography Radiologic Technologist
36302
VA
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
106459
VA
Other
Enumeration date
05/27/2006
Last updated
05/20/2008
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