Provider Demographics
NPI:1841449949
Name:TOWNSEND, LANCE EDWARD (PT)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:EDWARD
Last Name:TOWNSEND
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5983 RICHMOND TAPPAHANNOCK HWY
Mailing Address - Street 2:
Mailing Address - City:AYLETT
Mailing Address - State:VA
Mailing Address - Zip Code:23009-3009
Mailing Address - Country:US
Mailing Address - Phone:804-769-7504
Mailing Address - Fax:804-769-7524
Practice Address - Street 1:5983 RICHMOND TAPPAHANNOCK HWY
Practice Address - Street 2:
Practice Address - City:AYLETT
Practice Address - State:VA
Practice Address - Zip Code:23009-3009
Practice Address - Country:US
Practice Address - Phone:804-769-7504
Practice Address - Fax:804-769-7524
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11722225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist