Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA L PARK, MD
ActiveDR. LISA L PARK, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in FAIRFAX, Virginia. NPI 1699982868 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · FAIRFAX, VA
Registration Details
- NPI Number
- 1699982868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2007 (19.214318059966 yrs)
- Last Updated
- Jan 11, 2012
- Licenses
-
0101250887 (VA)25MA08646300 (NJ)
Practice Information
- Address
-
4400 UNIVERSITY DRSTUDENT UNION BUILDING 1, ROOM 2300FAIRFAX, VA, 220304422Browse VA providers · Browse ZIP 22030
- Phone
- 7039932831
- Fax
- 7039934365
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
- Additional Specialty
- Adolescent Medicine (Pediatrics)
Other Adolescent Medicine (Pediatrics) Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN T TSAI | M.D. | 1376527366 |
| DR. WAGIDA A ABDALLA | M.D. | 1578582748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.