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1336185735
LISA A LUGENT
MANASSAS, VA
NPI
1336185735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001986)
Enumeration Date
2006-06-22
Last Update Date
2013-01-28
Business Address
-- LISA A LUGENT PA
8700 SUDLEY ROAD PRINCE WILLIAM HOSPITAL
MANASSAS, VA 20110
Phone number: 703-369-8337
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Mailing Address
-- LISA A LUGENT PA
12917 ASPIRE CT
BRISTOW, VA 20136-3123
Phone number: 571-261-5095
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