Individual
DR. LISA ANN ANDRUSCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0102201613
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
3808
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010079900
—
VA
Enumeration date
05/03/2006
Last updated
12/22/2021
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