Advanced Health Concepts

NPI 1104102946 - Optometrist - 152W00000X

NPI Details
NPI 1104102946
Enumeration Date 10/25/2011
Last Updated 10/23/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LISA M LISA
Position PRESIDENT
Phone (804) 457-8733
Fax
Practice Location
11500 MIDLOTHIAN TPKE
OUTSIDE JC PENNEY
NORTH CHESTERFIELD VA, 23235-4780, US
Phone (804) 457-8733
Fax
Business Location
PO BOX 73293
NORTH CHESTERFIELD VA, 23235-8029, US
Phone (917) 304-7854
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 06128002036
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According to our database, Advanced Health Concepts NPI is 1104102946, taxonomy code is 152W00000X and license number is 06128002036, license state is located at Virginia. Advanced Health Concepts physically located at 11500 Midlothian Tpke, North Chesterfield VA, 23235-4780. NPI Number 1033115704 has the healthcare provider type.

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1104102946 NPI number is provided on an as is basis without warranty of any kind. 1104102946 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Health Concepts are for informational purposes only.