Individual
MRS. LISA MARGARET REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3541 W BRADDOCK RD, SUITE 101, ALEXANDRIA, VA 22302-1915
(703) 379-6020
Mailing address
3541 W BRADDOCK RD, SUITE 101, ALEXANDRIA, VA 22302-1915
(703) 379-6020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004133
VA
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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