Individual
LISA MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 BOONE BLVD STE 340, VIENNA, VA 22182-2640
(703) 734-2222
Mailing address
8130 BOONE BLVD STE 340, VIENNA, VA 22182-2640
(571) 221-0408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024192270
VA
Other
Enumeration date
01/16/2025
Last updated
01/24/2025
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