Individual
LISA M ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
44727 BRIMFIELD DR, ASHBURN, VA 20147-5920
(571) 385-4600
(571) 385-4605
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002174
VA
Other
Enumeration date
11/16/2012
Last updated
03/17/2018
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