Individual
LISA RENE OTTO CASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
408 16TH STREET, WEST POINT, VA 23181
(804) 843-3131
(804) 843-3222
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010210224
—
VA
01
—
185403
ANTHEM
VA
01
—
P00319511
RR/MEDICARE
—
Enumeration date
11/09/2005
Last updated
03/24/2021
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