Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI # | 1144181207 |
| LBN Legal business name | ORTHOVIRGINIA |
| Authorized official | TACARA LANE - (CLINICAL SUPPORT SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/19/2025 |
| Last updated | 11/19/2025 - About 7 months ago |
| Identifiers | n/a |
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