Individual
LISA ANN CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 OYSTER POINT RD, SUITE A, NEWPORT NEWS, VA 23602-6926
(757) 249-3000
(757) 269-4424
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101050425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154385706
—
VA
Enumeration date
04/12/2006
Last updated
10/02/2013
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