Palazzo, Lisa M

Palazzo, Lisa M is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Palazzo, Lisa M can be contacted via phone (703) 295-9360.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Phone: (703) 295-9360
Fax: (703) 295-9369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101055451 Virginia

Profile Details

NPI number 1669493987
LBN Legal business name Palazzo, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Mar 26th, 2015 - about 11 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669493987 NPPES
Virginia MEDICAID 1669493987
Virginia Other K142-0001
Virginia Other 139180
Virginia Other 248299
Virginia Other 293008
Virginia Other 484645
Virginia Other 300363

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