Individual
LISA HARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701
(540) 321-4281
(540) 321-4282
Mailing address
PO BOX 21975, BELFAST, ME 04915-4116
(540) 321-4281
(540) 321-4282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101043994
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316916851
—
VA
Enumeration date
03/16/2006
Last updated
05/20/2019
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