Individual
DR. ALISE MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 S MAIN ST, LEXINGTON, VA 24450-2356
(540) 462-6270
(540) 319-5172
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101233351
VA
208000000X
Pediatrics Physician
63116
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098235
—
AZ
Enumeration date
07/12/2005
Last updated
01/26/2026
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