Individual
MELISSA ANNE LIRAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8081 INNOVATION PARK DR STE 800, FAIRFAX, VA 22031-4867
(571) 472-4600
(571) 665-6885
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56543
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/11/2018
Last updated
11/26/2021
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