Individual
LISA A LUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8700 SUDLEY ROAD, PRINCE WILLIAM HOSPITAL, MANASSAS, VA 20110
(703) 369-8337
(703) 369-8868
Mailing address
12917 ASPIRE CT, BRISTOW, VA 20136-3123
(571) 261-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001986
VA
Other
Enumeration date
06/22/2006
Last updated
01/28/2013
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