DR. Lisa L Park, MD

NPI #1699982868 in Fairfax, Virginia

Provider Information

NPI Number
1699982868
Entity Type
Individual
Name
DR. Lisa L Park, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics - Adolescent Medicine
Credential
MD
Enumeration Date
May 17, 2007
Last Updated
Jan 11, 2012

Practice Location

Address
4400 UNIVERSITY DR
Address 2
STUDENT UNION BUILDING 1, ROOM 2300
ZIP Code
22030-4422
Phone
(703) 993-2831

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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