Individual
DR. LISA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 JONES BRIDGE RD RM A-1040A, BETHESDA, MD 20814-4799
(301) 295-1668
Mailing address
4301 JONES BRIDGE RD RM A-1040A, BETHESDA, MD 20814-4799
(301) 295-1668
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
28169
NE
208D00000X
General Practice Physician
28169
NE
Other
Enumeration date
06/03/2013
Last updated
08/05/2024
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