Active NPI
Gastro Nova Center LLC
- Specialist
- Centreville, VA
National Provider Identifier
1366397598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GASTRO NOVA CENTER LLC
- Practice address
- 5651 Stone Rd
Centreville, VA 20120-1618 - Phone
- (571) 717-4188
- Fax
- (571) 717-4199
- NPI assigned
- Mar 3, 2026
- Last updated
- Apr 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Lasner
- Title
- President
- Phone
- (703) 862-6615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
5651 Stone Rd
Centreville, VA 20120-1618
Mailing address
5651 Stone Rd
Centreville, VA 20120-1618
Phone (571) 717-4188
National Provider Directory
National Provider DirectoryLocations
5651 Stone Rd
Centreville, VA 20120
Phone (703) 830-3092
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Centreville, VA
- NPI 1710088299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1366397598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "571-717-4188",
"fax_number": "571-717-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "571-717-4188",
"fax_number": "571-717-4199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTRO NOVA CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "LASNER",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-862-6615"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.