Individual
DR. LISA A IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2325 SEMINOLE LN STE 110, CHARLOTTESVILLE, VA 22901-8395
(434) 340-0879
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101233858
VA
208000000X
Pediatrics Physician
D0091856
MD
Other
Enumeration date
09/22/2006
Last updated
04/07/2026
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