Individual
LISA ANN CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 UNIVERSITY DR, GEORGE MASON UNIVERSITY, SHS, FAIRFAX, VA 22030-4422
(703) 993-2831
Mailing address
9208 CROSS OAKS CT, FAIRFAX STATION, VA 22039-3337
(703) 495-0421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165798
VA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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