Individual
LISA KATE EITCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
THE GW MEDICAL FACULTY ASSOCI, 2150 PENNSYLVANIA AVE, NW, WASHINGTON, DC 20037
(202) 741-3000
Mailing address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
101278362
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2020
Last updated
03/21/2024
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