Individual
LISA MCCAIN-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
(757) 314-7906
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
(757) 314-7906
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101231638
VA
Other
Enumeration date
05/14/2007
Last updated
02/10/2025
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