NPI 1003188483
Commonwealth Gastroenterology, Plc
Practice location
- Address
- 4229 Lafayette Center Dr #1000, Chantilly, VA 20151-1261
- Phone
- (703) 262-0200
- Mailing address
- 4001 Fair Ridge Dr #201, Fairfax, VA 22033-2917
Authorised official
- Name
- Lance Lasner
- Title
- Owner
- Phone
- (703) 262-0200
Registered specialties
Gastroenterology Physician
Primary
Registry record
- NPI
- 1003188483
- Entity type
- Organization
- NPI issued
- 1 Feb 2012
- Record last updated
- 1 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.