Individual
DR. LISA K MADREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 KEMPSVILLE RD, NORFOLK, VA 23502
(757) 466-5283
(757) 466-5849
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057133
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005867061
—
VA
Enumeration date
02/21/2006
Last updated
04/12/2010
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