Provider Demographics
NPI:1295756542
Name:LONAS, CHRISTEN LEIGH (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTEN
Middle Name:LEIGH
Last Name:LONAS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 S PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-5152
Mailing Address - Country:US
Mailing Address - Phone:540-662-6822
Mailing Address - Fax:540-662-6903
Practice Address - Street 1:8565 SUDLEY RD # 8565B
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-3864
Practice Address - Country:US
Practice Address - Phone:571-285-4208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00369213ES0103X
VA0103300858213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009304398Medicaid
WV2103046000Medicaid
WVLO4065801Medicare ID - Type Unspecified