Individual
LISA CHRISTINE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SENTARA CIR, ROOM 2C, WILLIAMSBURG, VA 23188-5713
(757) 984-7218
(757) 984-7210
Mailing address
100 SENTARA CIR, ROOM 2C, WILLIAMSBURG, VA 23188-5713
(757) 984-7218
(757) 984-7210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-084589
OH
207R00000X
Internal Medicine Physician
Primary
0101248071
VA
208M00000X
Hospitalist Physician
0101248071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367441
ANTHEM INSURANCE
OH
01
—
04782
PARAMOUNT INSURANCE
OH
05
—
2574174
—
OH
01
—
5191153
CIGNA INSURANCE
OH
Enumeration date
01/26/2006
Last updated
12/04/2023
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