Dr Lisa Dang Larose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jb Andrews, Maryland. Her current practice location is 
1060 W Perimeter Rd, Jb Andrews, Maryland. You can reach out to her office (for appointments etc.) via phone at 
(240) 612-2020.
Dr Lisa Dang Larose is licensed to practice in Virginia (license number 0101254304) and she also participates in the medicare program. She 
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285933838.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr Lisa Dang Larose | 
|---|
| Gender | Female | 
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| Speciality |  | 
|---|
| Experience | Years | 
|---|
| Location | 1060 W Perimeter Rd, Jb Andrews, Maryland | 
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
|---|
			
			 
			
			  Medical Education and Training:
- Dr Lisa Dang Larose attended and graduated from  in 
  NPI Data:
			
			- NPI Number: 1285933838
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 08/04/2023
  Medicare PECOS Information:
- PECOS PAC ID: 
- Enrollment ID: 
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Lisa Dang Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1285933838 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 0101254304 (Virginia) | Secondary | 
| 208D00000X | General Practice | 0101254304 (Virginia) | Secondary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| 2085R0202X | Radiology - Diagnostic Radiology | 0101254304 (Virginia) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Dang Larose is 
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Dr Lisa Dang Larose, MD Malcolm Grow Medical Clinics And Surgery Center, 1060 W. Perimeter Rd,
 Jb Andrews, MD 20762
 Ph: (240) 612-2020
 | Dr Lisa Dang Larose, MD 1060 W Perimeter Rd,
 Jb Andrews, MD 20762-6602
 Ph: (240) 612-2020
 | 
		
		 
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