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1366982852
LISA MACK
FORT BELVOIR, VA
NPI
1366982852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101270275)
Enumeration Date
2017-03-02
Last Update Date
2024-07-10
Business Address
LISA MACK MD
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-3162
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Mailing Address
LISA MACK MD
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number:
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