Individual
LISA J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2330 MAPUTO PL, DULLES, VA 20189-2330
(404) 775-1685
Mailing address
2330 MAPUTO PL, DULLES, VA 20189-2330
(404) 775-1685
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
205622
MA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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