Dr Lisa L Park, MD | |
4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 | |
(703) 993-2831 | |
(703) 993-4365 |
Full Name | Dr Lisa L Park |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 4400 University Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699982868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 0101250887 (Virginia) | Primary |
2080A0000X | Pediatrics - Adolescent Medicine | 25MA08646300 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa L Park, MD 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 Ph: (703) 993-2831 | Dr Lisa L Park, MD 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 Ph: (703) 993-2831 |
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Ho Chung Tu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 Phone: 703-359-0245 Fax: 928-436-3339 | |
Dr. Lindsey Waldman, Pediatrics Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031 Phone: 703-839-8797 | |
Dr. Laura E. Byrnes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. Julie-ann M Crewalk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031 Phone: 703-226-2280 Fax: 703-752-1713 | |
Sandy L. Chung, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. James R Baugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031 Phone: 703-573-2432 Fax: 703-280-9350 | |
Benjamin Isaac Enav, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031 Phone: 571-314-0444 Fax: 855-237-3628 |