Individual
MRS. LISA MARIE BORIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
224 CORNWALL ST NW, LEESBURG, VA 20176-2701
(703) 443-2000
Mailing address
224A CORNWALL ST., LEESBURG, VA 20176
(703) 443-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024146353
VA
Other
Enumeration date
02/07/2007
Last updated
01/26/2010
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