Individual
LISA A. BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
595 MARTHA JEFFERSON DR STE 180, CHARLOTTESVILLE, VA 22911-4669
(434) 654-5575
(434) 654-5574
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-5574
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110840316
VA
Other
Enumeration date
06/26/2006
Last updated
04/04/2019
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