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1609975952
LISA ANN IRVINE
RESTON, VA
NPI
1609975952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101233858)
Enumeration Date
2006-09-22
Last Update Date
2024-01-25
Business Address
Dr. LISA ANN IRVINE M.D. Ph.D. F.A.A.P.
11930 DEMOCRACY DR
RESTON, VA 20190-5624
Phone number: 202-660-0050
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Mailing Address
Dr. LISA ANN IRVINE M.D. Ph.D. F.A.A.P.
19152 COTON RESERVE DR
LEESBURG, VA 20176-1662
Phone number: 540-338-3320
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