DR. Lisa C Shah, D.O.
NPI #1316129893 in Prince George, Virginia
Provider Information
- NPI Number
- 1316129893
- Entity Type
- Individual
- Name
- DR. Lisa C Shah, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 4700 PUDDLEDOCK RD
- Address 2
- SUITE 300
- City
- Prince George
- State
- Virginia
- ZIP Code
- 23875-1268
- Phone
- (804) 526-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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