Individual
MS. LISA SANTRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6506 LOISDALE RD, STE 300, SPRINGFIELD, VA 22150
(703) 924-4100
(703) 924-5048
Mailing address
20 S OLD GLEBE RD, APT 305A, ARLINGTON, VA 22204
(571) 243-9494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004817
VA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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