Chestnut, Lisa D

Chestnut, Lisa D is an individual health care provider with primary practice located at 4687 Pouncey Tract Road Kidmed, Glen Allen VA 23059-5802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chestnut, Lisa D can be contacted via phone (804) 422-5437.

Contact Information

Primary practice address
4687 Pouncey Tract Road Kidmed Glen Allen VA 23059-5802
Phone: (804) 422-5437
Fax: (804) 422-5438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101050845 Virginia

Profile Details

NPI number 1376543660
LBN Legal business name Chestnut, Lisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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