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Individual

DR. LISA SCHILLER LULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
Mailing address
8001 FORBES PL STE 103, SPRINGFIELD, VA 22151-2205
(703) 824-3210
(703) 321-3300

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00026757
AL
2085R0202X
Diagnostic Radiology Physician
0055972
CO
2085R0202X
Diagnostic Radiology Physician
Primary
0101263277
VA
2085R0202X
Diagnostic Radiology Physician
10394A
WY
2085R0202X
Diagnostic Radiology Physician
27845
WV
2085R0202X
Diagnostic Radiology Physician
28980
NE
2085R0202X
Diagnostic Radiology Physician
44917
TN
2085R0202X
Diagnostic Radiology Physician
D0066919
MD

Other

Enumeration date
11/21/2006
Last updated
03/08/2021
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