Individual
DR. LISA A UHERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101241828
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
0101241828
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
46875
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009906261F
HUMANA
—
05
—
34528000
—
WI
Enumeration date
05/15/2006
Last updated
09/07/2023
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