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 |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
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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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