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Individual

STUART F LANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5223
Mailing address
5229 UPP ST, RICHMOND, VA 23234-4762
(804) 675-5000
(804) 675-5223

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1041423
NCCPA NATIONAL CERTIFICAT
Enumeration date
07/18/2006
Last updated
07/08/2007
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