Individual
LISA MARIE KNUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13478 CARROLLTON BLVD, UNITS D & E, CARROLLTON, VA 23314-3206
(757) 238-7043
(757) 238-7052
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101238467
VA
Other
Enumeration date
07/04/2006
Last updated
01/20/2014
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