Individual
LISA CRISALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-8168
(877) 303-1460
Mailing address
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007-2113
(202) 444-8168
(877) 303-1460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101279587
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
09/18/2023
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