Individual
MEAGAN ELIZABETH LEMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1717 WILL O WISP DR STE 200, VIRGINIA BEACH, VA 23454-3102
(757) 481-4817
(757) 481-7138
Mailing address
10770 COLUMBIA PIKE STE 400, SILVER SPRING, MD 20901-4462
(215) 589-9012
(337) 056-3018
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110009272
VA
363AM0700X
Medical Physician Assistant
PA9107070
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105223000
—
FL
01
—
JN855
MEDICARE
FL
Enumeration date
01/23/2013
Last updated
10/07/2024
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