| Shallortho, PLLC | |
|
637 Kingsborough Sq Ste D Chesapeake VA 23320-4944 | |
| (757) 762-3582 | |
| (757) 664-9930 |
| Full Name | Shallortho, PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 637 Kingsborough Sq Ste D, Chesapeake, Virginia |
| Authorized Official Name and Position | Lawrence Shall (PROVIDER) |
| Authorized Official Contact | 7577623582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shallortho, PLLC 4545 Commerce St Unit 2606 Virginia Beach VA 23462-3283 Ph: (757) 762-3582 | Shallortho, PLLC 637 Kingsborough Sq Ste D Chesapeake VA 23320-4944 Ph: (757) 762-3582 |
| NPI Number | 1467050740 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 09/12/2025 |
| Certification Date | 09/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467050740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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