Search › Virginia › 2080A0000X
Lisa Park, MD
NPI 1699982868 · on the registry since 2007
Practice
- Address
- 4400 University Dr
Student Union Building 1, Room 2300
Fairfax, VA 22030 - Phone
- (703) 993-2831
- Fax
- (703) 993-4365
- Organisation at this address
- George Mason University
George Mason University Student Health ServiceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 86
Registry record
- Primary taxonomy
- 2080A0000X
2080A0000X
- Also registered as
- 2080A0000X
- Licence states on file
- VA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia