Organization
CHL & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LO M LUMSDEN ANP, GNP, EDD (PRESIDENT)
(757) 407-0610
Entity
Organization
Contact information
Practice address
1367 SIR RICHARD RD, VIRGINIA BEACH, VA 23455
(757) 407-0610
(757) 460-2136
Mailing address
1369 SIR RICHARD RD, VIRGINIA BEACH, VA 23455
(757) 407-0610
(757) 460-2136
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0001055783
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001055783
MEDICAL LIC
VA
Enumeration date
10/10/2012
Last updated
10/10/2012
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