Dr. Lisa L Park

MD | Pediatric Adolescent Medicine | Female

Dr. Lisa L Park, MD is a Fairfax, Virginia based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of Dr. Lisa L Park is 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, Virginia - 22030-4422. She can be contacted on phone at 703-993-2831 and fax number 703-993-4365. Dr. Lisa L Park is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa L Park is 1699982868 which was assigned by NPPES on 17 May, 2007 and it was last updated on 11 Jan, 2012. Dr. Lisa L Park license number is 0101250887 for Pediatrics Adolescent Medicine (2080A0000X) in Virginia.
Dr. Lisa L Park specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Lisa L Park basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Dr. Lisa L Park
Credential :MD
Gender :Female
Business Address:
Dr. Lisa L Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :4400 University Dr, Student Union Building 1, Room 2300
Fairfax, VA, 22030-4422
United States
Phone Number :703-993-2831
Fax Number :703-993-4365
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1699982868
NPI Entity Type : Individual
First Enrolment Date : 17 May, 2007
Last Updated On : 11 Jan, 2012
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa L Park are as mentioned. Primary taxonomy code for Dr. Lisa L Park, MD is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineNo25MA08646300NJ
2080A0000XPediatrics Adolescent MedicineYes0101250887VA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :4400 University Dr, Student Union Building 1, Room 2300
Fairfax, VA, 22030-4422
United States
Phone Number :703-993-2831
Fax Number :703-993-4365
Business Location:
Patients can refer following map for directions to Dr. Lisa L Park practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.