Individual
NDEYE LISSA KONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19455 DEERFIELD AVE STE 201, LANSDOWNE, VA 20176-8102
(703) 723-3670
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073832028
—
VA
Enumeration date
05/28/2010
Last updated
02/05/2026
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