SearchVirginia183500000X

Long La

NPI 1225589690 · on the registry since 2016

Practice

Address
4238 W Hundred Rd
Chester, VA 23831
Phone
(804) 706-1419
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia