| 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 |
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 |