Bodine, Lisa A

Bodine, Lisa A is an individual health care provider with primary practice located at 1350 Connecticut Ave Nw Ste 1250 , Washington DC 20036-1728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bodine, Lisa A can be contacted via phone (202) 627-1901.

Contact Information

Primary practice address
1350 Connecticut Ave Nw Ste 1250 Washington DC 20036-1728
Phone: (202) 627-1901
Fax: (202) 660-0025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004298 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11108 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12147 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA031171 District of Columbia

Profile Details

NPI number 1386084572
LBN Legal business name Bodine, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Jan 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers