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Individual

DR. LISA M WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
3738 WINTERFIELD RD, SUITE 100, MIDLOTHIAN, VA 23113-9236
(804) 378-9378
(804) 378-9379
Mailing address
3738 WINTERFIELD RD, SUITE 100, MIDLOTHIAN, VA 23113-9236
(804) 378-9378
(804) 378-9379

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101053220
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000137218904
UNITED
05
006205445
VA
01
0970529
AETNA USHEALTH
01
11943
CARENET
01
160049261
RR MEDICARE
01
226113
ANTHEM
01
328075
MAMSI
01
34350
OPTIMA HEALTH
01
541941044002
TRICARE
01
6205445
VA PREMIER
01
8785535
CIGNA
VA
01
94542
SOUTHERN HEALTH
Enumeration date
01/18/2006
Last updated
12/26/2014
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