Individual
DR. LISA KURIAN THANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-5910
(804) 675-5000
Mailing address
5432 HICKORY PLACE WAY, GLEN ALLEN, VA 23059-5910
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101264518
VA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101264518
VA
Other
Enumeration date
05/30/2013
Last updated
11/20/2019
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