Individual
DR. LISA MICHELLE DEYERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5020 GRANDIN ROAD EXT, ROANOKE, VA 24018-2203
(540) 312-3552
(949) 676-1791
Mailing address
5020 GRANDIN ROAD EXT, ROANOKE, VA 24018-2203
(540) 312-3552
(949) 676-1791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234624
VA
Other
Enumeration date
02/26/2007
Last updated
03/09/2026
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