Lisa R.v. Harper M.d., P.c. | |
3022 Javier Rd Suite 110b Fairfax VA 22031-4645 | |
(703) 560-7600 | |
(703) 560-4935 |
Full Name | Lisa R.v. Harper M.d., P.c. |
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Speciality | Internal Medicine |
Location | 3022 Javier Rd, Fairfax, Virginia |
Authorized Official Name and Position | Lisa R.v. Harper (PRESIDENT) |
Authorized Official Contact | 7035607600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lisa R.v. Harper M.d., P.c. 3022 Javier Rd Suite 110b Fairfax VA 22031-4645 Ph: (703) 560-7600 | Lisa R.v. Harper M.d., P.c. 3022 Javier Rd Suite 110b Fairfax VA 22031-4645 Ph: (703) 560-7600 |
NPI Number | 1093039364 |
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Provider Enumeration Date | 03/16/2010 |
Last Update Date | 03/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093039364 | NPI | - | NPPES |
0101036121 | Other | VA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101036121 (Virginia) | Primary |
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