Individual
MS. LISA A DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16463 DAHLGREN RD, DAHLGREN, VA 22448
(540) 644-9505
(540) 644-9508
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093789364
—
VA
Enumeration date
02/14/2006
Last updated
10/03/2014
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